When it comes to rheumatism, people naturally think of tendon and joint pain. In fact, rheumatism involves a wide range of diseases, including about 170 kinds of diseases. Many rheumatic diseases have non-joint symptoms as their first manifestation and are often misdiagnosed. The common non-joint manifestations of rheumatic diseases are briefly introduced. 1, rash: almost all rheumatic diseases can appear skin damage, the most common is a skin rash. Rash can be accompanied by scratching, and some rashes can also be an important basis for the diagnosis of rheumatic diseases. Such as dermatomyositis to the positive rash, manifested as mauve edematous rash on the upper eyelids, as well as Gottron’s sign; adult Steele’s disease with fever accompanied by an irregular rash. 2, fever: most rheumatic diseases have fever symptoms. The fever pattern can be high or low, or irregular. Especially long-term intermittent fever, can not be explained by other diseases, to consider the possibility of rheumatic disease. 3, myalgia: all rheumatic diseases may appear myalgia symptoms. If accompanied by muscle weakness or myasthenia, to consider polymyositis; not accompanied by muscle weakness or myasthenia, to consider rheumatic polymyalgia or fibromyalgia syndrome. 4, eye disease: eye disease caused by rheumatic diseases are common: uveitis, keratitis, iritis, conjunctival ulcers, retinitis, optic neuritis, etc.. Rheumatic diseases with eye disease as the main manifestation are difficult to diagnose. For example, ankylosing spondylitis with iritis as the first symptom is often misdiagnosed. 5, numbness: some rheumatic diseases are accompanied by numbness of the limbs or face. Such as cervical spine, lumbar spine lesions resulting in numbness of the limbs, as well as a variety of rheumatic diseases caused by peripheral neuropathy caused by the skin and face numbness. 6, dizziness: many rheumatic diseases are mainly manifested by dizziness. The pathological mechanism of dizziness caused by rheumatism is relatively complex, and there are roughly two types: first, vascular factors, such as cerebrovascular lesions, insufficient blood supply to the vertebral basilar artery; second, blood factors, such as anemia and bleeding.