Prab: CSV import

2025-04-04T16:53:44Z

CSV import

← Older revision		Revision as of 16:53, 4 April 2025
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			{{SI}}
			{{Infobox medical condition
			\| name = Arthritis mutilans
			\| image = [[File:Reumatoidalne_zapalenie_stawow_01.jpg\|left\|thumb\|X-ray of a hand affected by arthritis mutilans]]
			\| caption = X-ray of a hand affected by arthritis mutilans
			\| field = [[Rheumatology]]
			\| synonyms = Mutilating [[rheumatoid arthritis]], [[Psoriatic arthritis]] mutilans
			\| symptoms = Severe [[joint deformity]], [[bone resorption]], [[joint pain]]
			\| complications = [[Joint destruction]], [[disability]]
			\| onset = Typically between ages 20 and 50
			\| duration = Chronic
			\| causes = [[Autoimmune disease]], [[genetic factors]]
			\| risks = [[Family history]], [[psoriasis]], [[rheumatoid arthritis]]
			\| diagnosis = [[Clinical examination]], [[X-ray]], [[MRI]]
			\| differential = [[Rheumatoid arthritis]], [[Psoriatic arthritis]], [[Osteoarthritis]]
			\| treatment = [[Disease-modifying antirheumatic drugs]] (DMARDs), [[biologics]], [[physical therapy]]
			\| medication = [[Methotrexate]], [[TNF inhibitors]], [[NSAIDs]]
			\| frequency = Rare
			\| deaths = Rarely directly fatal, but can lead to severe disability
			}}
	'''Arthritis mutilans''' is a rare medical condition involving severe inflammation damaging the joints of the hands and feet, and resulting in deformation and problems with moving the affected areas; it can also affect the spine.		'''Arthritis mutilans''' is a rare medical condition involving severe inflammation damaging the joints of the hands and feet, and resulting in deformation and problems with moving the affected areas; it can also affect the spine.
	[[File:Psoriatic arthritis digit ar1934-2.gif\|alt=Psoriatic arthritis digit \|thumb\|'''Psoriatic arthritis digit''' ]]		[[File:Psoriatic arthritis digit ar1934-2.gif\|alt=Psoriatic arthritis digit \|left\|thumb\|'''Psoriatic arthritis digit''' ]]

	<youtube>		<youtube>
	title='''{{PAGENAME}}'''		title='''{{PAGENAME}}'''
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	height=600		height=600
	</youtube>		</youtube>

	== Signs and symptoms ==		== Signs and symptoms ==
	Signs and symptoms of psoriatic arthritis include:		Signs and symptoms of psoriatic arthritis include:
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	* Psoriatic arthritis usually occurs between the ages of 30 and 50.		* Psoriatic arthritis usually occurs between the ages of 30 and 50.
	* In some patients, psoriatic arthritis develops in the absence of noticeable skin changes.		* In some patients, psoriatic arthritis develops in the absence of noticeable skin changes.
	[[File:Reumatoidalne zapalenie stawow 01.jpg\|alt=Rheumatoid arthritis hands\|thumb\|Rheumatoid arthritis hands]]		[[File:Reumatoidalne zapalenie stawow 01.jpg\|alt=Rheumatoid arthritis hands\|left\|thumb\|Rheumatoid arthritis hands]]
	== Cause ==		== Cause ==
	Arthritis mutilans occurs mainly in people who have pre-existing [[psoriatic arthritis]], but can occur, if less often, in advanced rheumatoid arthritis; it can also occur independently		Arthritis mutilans occurs mainly in people who have pre-existing [[psoriatic arthritis]], but can occur, if less often, in advanced rheumatoid arthritis; it can also occur independently

	== Diagnosis ==		== Diagnosis ==
	[[Enthesitis]] can assist in differentiating arthritis mutilans' parent condition psoriatic arthritis from rheumatoid arthritis and [[osteoarthritis]], with evidence in plain radiographs (x-rays) and [[Magnetic resonance imaging\|MRI]] as [[periostitis]], new bone formation, and bone erosions.		[[Enthesitis]] can assist in differentiating arthritis mutilans' parent condition psoriatic arthritis from rheumatoid arthritis and [[osteoarthritis]], with evidence in plain radiographs (x-rays) and [[Magnetic resonance imaging\|MRI]] as [[periostitis]], new bone formation, and bone erosions.
	== Treatment ==		== Treatment ==
	Treat the underlying cause		Treat the underlying cause

	=== Medication ===		=== Medication ===
	The bone edema in arthritis mutilans can be treated with [[TNF inhibitor]]s		The bone edema in arthritis mutilans can be treated with [[TNF inhibitor]]s

	=== Surgical ===		=== Surgical ===
	Although a 2011 research article stated that disagreements between hand surgeons and rheumatologists remain regarding the indications, timing and effectiveness of rheumatoid hand surgery		Although a 2011 research article stated that disagreements between hand surgeons and rheumatologists remain regarding the indications, timing and effectiveness of rheumatoid hand surgery

	== Outcomes ==		== Outcomes ==
	Arthritis mutilans' parent condition psoriatic arthritis leaves people with a mortality risk 60% higher than the general population, with premature death causes mirroring those of the general population, cardiovascular issues being most common.		Arthritis mutilans' parent condition psoriatic arthritis leaves people with a mortality risk 60% higher than the general population, with premature death causes mirroring those of the general population, cardiovascular issues being most common.

	{{Arthropathies and related conditions}}		{{Arthropathies and related conditions}}
	{{Spinal disease}}		{{Spinal disease}}

	{{Medicine}}		{{Medicine}}

	[[Category:Rheumatology]]		[[Category:Rheumatology]]
	[[Category:Arthritis]]		[[Category:Arthritis]]
	[[Category:Autoimmune diseases]]		[[Category:Autoimmune diseases]]

Prab at 22:01, 20 October 2020

2020-10-20T22:01:07Z

New page

'''Arthritis mutilans''' is a rare medical condition involving severe inflammation damaging the joints of the hands and feet, and resulting in deformation and problems with moving the affected areas; it can also affect the spine.
[[File:Psoriatic arthritis digit ar1934-2.gif|alt=Psoriatic arthritis digit |thumb|'''Psoriatic arthritis digit''' ]]

<youtube>
title='''{{PAGENAME}}'''
movie_url=http://www.youtube.com/v/M-E-aXxxRaA
&rel=1
embed_source_url=http://www.youtube.com/v/M-E-aXxxRaA
&rel=1
wrap = yes
width=750
height=600
</youtube>

== Signs and symptoms ==
Signs and symptoms of psoriatic arthritis include:
* stiff, painful joints with redness, heat, and swelling in the surrounding tissues.
* When the hands and feet are affected, swelling and redness may result in a "sausage-like" appearance of the fingers or toes called [[dactylitis]].
* Psoriatic arthritis usually occurs between the ages of 30 and 50.
* In some patients, psoriatic arthritis develops in the absence of noticeable skin changes.
[[File:Reumatoidalne zapalenie stawow 01.jpg|alt=Rheumatoid arthritis hands|thumb|Rheumatoid arthritis hands]]
== Cause ==
Arthritis mutilans occurs mainly in people who have pre-existing [[psoriatic arthritis]], but can occur, if less often, in advanced rheumatoid arthritis; it can also occur independently

== Diagnosis ==
[[Enthesitis]] can assist in differentiating arthritis mutilans' parent condition psoriatic arthritis from rheumatoid arthritis and [[osteoarthritis]], with evidence in plain radiographs (x-rays) and [[Magnetic resonance imaging|MRI]] as [[periostitis]], new bone formation, and bone erosions.
== Treatment ==
Treat the underlying cause

=== Medication ===
The bone edema in arthritis mutilans can be treated with [[TNF inhibitor]]s

=== Surgical ===
Although a 2011 research article stated that disagreements between hand surgeons and rheumatologists remain regarding the indications, timing and effectiveness of rheumatoid hand surgery

== Outcomes ==
Arthritis mutilans' parent condition psoriatic arthritis leaves people with a mortality risk 60% higher than the general population, with premature death causes mirroring those of the general population, cardiovascular issues being most common.

{{Arthropathies and related conditions}}
{{Spinal disease}}

{{Medicine}}

[[Category:Rheumatology]]
[[Category:Arthritis]]
[[Category:Autoimmune diseases]]

Arthritis mutilans - Revision history

Prab: CSV import

Prab at 22:01, 20 October 2020