Same arthritis, different disease

  Many people mistakenly perceive arthritis as a “rheumatic” disease. In fact, this perception is wrong. There are many diseases that have arthritic manifestations. Common diseases are as follows: rheumatoid arthritis, osteoarthritis, systemic lupus erythematosus, ankylosing spondylitis, gouty arthritis, rheumatic fever, etc.  1, rheumatoid arthritis: is a chronic destructive arthropathy into the characteristics of the disease. It can be seen at any age, mainly manifested as symmetrical joint swelling and pain of the hands, wrists and feet joints, often more obvious pain at night, stiffness and pain is more prominent when waking up in the morning, morning stiffness lasts more than 1 hour, and can be accompanied by fever, anemia, subcutaneous nodules and lymph node enlargement and other extra-articular manifestations.  2.Osteoarthritis: It is the most common arthritis in middle-aged and elderly people, mainly due to long-term weight-bearing, resulting in strain injury, which is characterized by the involvement of more weight-bearing joints, often the knee joint is the most obvious, aggravated after activity and alleviated after rest, and the duration of morning stiffness is short, rarely more than half an hour, without extra-articular manifestations.  3.Systemic lupus erythematosus: Mostly seen in women of childbearing age, joint changes are characterized by non-destructive arthropathy, often symmetrical, wandering, multi-joint involvement, with pain often exceeding the objective level of the joint, mostly accompanied by fever, facial erythema, hair loss and other systemic manifestations.  4, ankylosing spondylitis: most often seen in adolescent males, mainly manifested as sacroiliac joint, spinal joint involvement, low back pain, neck pain, shoulder pain, etc., often more pronounced pain at night, stiffness and pain is more prominent when waking up in the morning, pain relief after activity, can be accompanied by asymmetric swelling and pain in the large joints of the lower extremities, often accompanied by heel pain, pain at the thoracic rib junction and other inflammatory symptoms of tendon attachment points and a history of recurrent ophthalmia.  5, gouty arthritis: onset after eating meat and other high-protein foods and drinking alcohol, sudden onset of joint redness and hot pain in the middle of the night, asymmetric, most commonly in the metatarsophalangeal joint, ankle joint, dorsal foot, bunion, knee and other rapidly developing joint redness and swelling, pain is intense, the next morning when you wake up so painful that you can not walk. Often accompanied by high blood pressure, hypertension, hyperglycemia and other conditions at the same time.  6.
Rheumatic fever: non-purulent inflammation mainly involving collagen fibers and stroma of connective tissue, characterized by rheumatic nodules, mainly invading the heart, joints, also involving skin, brain tissue, blood vessels and plasma membranes. The arthritis is wandering, multiple, and affects several large joints at the same time, with the knee, ankle, elbow, wrist, and shoulder joints being the most common. The arthritis is wandering and short-lived and can travel to 1-3 different joints in 1-2 days, often with different combinations of cardiac inflammation, erythema annulare, subcutaneous nodules, chorea, fever, and toxemia.