A. Diffuse rheumatic diseases
1.Rheumatoid arthritis
2. Juvenile rheumatoid arthritis
3.Lupus erythematosus (systemic, discoid, drug-based)
4.Scleroderma (localized, systemic sclerosis)
5, diffuse fasciitis with or without eosinophilia
6, polymyositis and dermatomyositis (polymyositis, dermatomyositis, polymyositis or dermatomyositis associated with malignancy, polymyositis or dermatomyositis in childhood associated with vascular disease)
7, necrotizing vasculitis and other types of vascular lesions (nodular polyarteritis, allergic granulomatosis Churg-strauss syndrome, hypersensitivity vasculitis: serum sickness, allergic purpura, mixed cryoglobulinemia, associated with malignancy and hypocomplementemic vasculitis, granulomatous arteritis: Wegener’s granulomatosis, giant cell arteritis with or without rheumatic polymyalgia, Takayasu arteritis, Kawasaki disease, leukoaraiosis)
8, dry syndrome (primary, secondary)
9, overlap syndrome
10, other: rheumatic polymyalgia, recurrent lipofuscinosis, recurrent polychondritis, erythema nodosum
Second, the arthritis complicating spondylitis (seronegative spondyloarthropathy)
1.Ankylosing spondylitis
2.Reiter’s syndrome
3, psoriatic arthritis
4.Inflammatory bowel disease arthritis
5.Undifferentiated arthritis
Three, osteoarthritis
1.Primary (including erosive osteoarthritis)
2.Secondary
4, infection-induced arthritis, tenosynovitis and bursitis
1, directly caused by
(1) bacterial, including ① gram-staining positive cocci such as staphylococci, ② gram-staining negative cocci such as gonococci, etc., ③ gram-staining negative bacilli, ④ acid-resistant bacilli, ⑤ spirochetes including Lyme disease, ⑥ others such as leprosy bacteria
(2) Mycoplasma sex.
(3) Viral including viral hepatitis.
(4) fungal.
(5) Parasitic.
(6) Unknown cause or suspected infectious such as Whipple’s disease.
2, indirectly caused (reactive)
(1) bacterial, including ① acute rheumatic fever, ② intestinal short-circuit, ③ post-dysentery – Shigella, ④ yersinia (yersinia) and other bacteria.
(2) Viral (hepatitis B)
V. Metabolic diseases and endocrinopathies with rheumatic disease manifestations
1, due to crystals: ① sodium urate (gout), ② pyrophosphate dihydrate (pseudogout, chondrocalcinosis), ③ apatite and other alkaline calcium phosphate, ④ oxalate.
2, biochemical abnormalities: ① amyloidosis, ② vitamin C deficiency (scurvy), ③ specific enzyme deficiency (including Fabry disease, Farber disease, etc.), ④ hyperlipidemia (type I, II, IV, etc.), ⑤ mucopolysaccharidosis, ⑥ hemoglobin abnormalities (SS disease, etc.), ⑦ true connective tissue disease (Ehler-Danlas disease, Marfan disease, osteogenesis imperfecta, elastic (Ehler-Danlas disease, Marfan’s disease, osteogenesis imperfecta, pseudoxanthoma, etc.), (8) hemochromatosis, (9) hepatomegaly (Wilson’s disease), (10) browning disease, (11) Gaucher’s disease and others.
3, endocrine diseases: ① diabetes mellitus, ② acromegaly, ③ hyperparathyroidism, ④ thyroid disease (hyperthyroidism, hypofunction, thyroiditis), ⑤ others.
4, immunodeficiency diseases: ① primary immunodeficiency, ② acquired immunodeficiency syndrome (AIDS).
5, other genetic diseases: ① congenital polyarticular curvature, ② hyperactivity syndrome, ③ progressive ossifying myositis.
VI. Tumors
1.Primary: synovial tumor, synovial sarcoma, etc.
2.Secondary: leukemia, multiple myeloma, metastases
VII. Neurovascular disease
1.Neurological arthropathy
2, compressive nerve disorders: ① peripheral nerve compression: such as carpal tunnel syndrome ② radiculopathy ③ spinal stenosis
3.Reflex sympathetic dystrophy
4, other: Raynaud’s phenomenon (disease)
Eight, there are joint performance of bone, periosteal and cartilage diseases
1, bone thinning ① circumferential, ② limited (site-specific, transient)
2, osteochondrosis
3, hypertrophic osteoarthropathy
4, diffuse primary bone hypertrophy (including ankylosing vertebral hypertrophy-Forestier disease)
5, osteitis ① circumscribed (deformational osteitis – Paget’s disease), ② limited (iliac dense osteitis, pubic osteitis)
6, ischemic osteonecrosis
7, osteochondritis (detached osteochondritis)
8, bone and joint dysplasia
9, slipped epiphysis
10, costochondritis (including Tietze syndrome)
11, osteolysis and chondrolysis
12, osteomyelitis
IX. Non-articular rheumatic diseases
1, myofascial pain syndrome ① circumferential (fibromyalgia, fibromyalgia), ② restrictive.
2, low back pain and intervertebral disc disease.
3.Tendonitis (tenosynovitis) and/or bursitis ① subacromial and subdeltoid bursitis, ② biceps tendonitis, ③ tenosynovitis, ④ hawk bursitis, ⑤ internal and external epicondylitis, ⑥ DeQuervain tendonitis, ⑦ adhesive capsulitis, ⑧ trigger finger, ⑨ others.
4.Tendon sheath cyst.
5.Fasciitis.
6.Chronic ligament and muscle strain.
7, vasodilator disorders ① erythema myalgia, ② Raynaud’s disease or phenomenon.
8.Other pain syndromes (including climate allergy, psychogenic rheumatism).
10.Other diseases
1.Diseases often complicated by arthritis
① trauma (as a result of direct trauma), ② internal joint disorders, ③ pancreatic disease, ④ sarcoidosis, ⑤ recurrent rheumatism, ⑥ intermittent joint effusion, ⑦ erythema nodosum, ⑧ hemophilia.
2.Other diseases
(1) multicentric reticuloendotheliosis (nodular lipofuscinosis), (2) familial Mediterranean fever, (3) Goodpasture syndrome, (4) chronic active hepatitis, (5) pharmacogenic rheumatic syndrome, (6) dialysis concomitant syndrome, (7) foreign body synovitis, (8) septic acne and sweat glands, (9) palmar and metatarsal muscle pustulosis, (10) Sweet syndrome, and others.