Misconceptions about rheumatic diseases

  When it comes to rheumatism, many people only think of “rheumatism” and “rheumatoid”, thinking that rheumatism is only these two diseases, joint pain, high anti-“O” is “rheumatism” and high rheumatoid factor is “rheumatoid”. “In fact, rheumatic diseases and digestive diseases, cardiovascular diseases, etc., are part of the second level of internal medicine, it is a general reference to affect the bones, joints and their surrounding soft tissues, such as muscles, tendons, bursae However, since rheumatism is an emerging discipline, many people still have many misconceptions about it, so that rheumatism patients cannot go to the rheumatology department in time, delaying diagnosis and treatment, and even causing malignant consequences. The following talk about the common misconceptions.  1, the etiology of misconceptions due to the influence of Chinese medicine, many people believe that rheumatism is caused by “wind” and “wet”, in fact, modern rheumatology and Chinese medicine “wind”, “wet” is completely different. In fact, modern rheumatology and Chinese medicine “wind” and “wet” are two completely different concepts, modern rheumatology that rheumatism is caused by environmental factors, genetic factors, infection factors, immune factors and other factors, of which immune factors are the most important cause of disease, and “wind”, “wet” is not much “But because rheumatism patients are more sensitive to “cold, cold, wet”, it can be used as a trigger to cause aggravation or attack, so it is necessary for rheumatism patients to pay attention to keep warm, but it is still necessary to take systematic professional treatment as the main Means.  2, the misconception of symptoms Some people think that the symptoms of rheumatism is joint swelling and pain, in other words, rheumatism is arthritis, arthritis is rheumatism, in fact, joint swelling and pain is only one of the most common clinical symptoms of rheumatism, it also has the following common symptoms: ① fever: often manifested as unexplained, irregular long-term fever, can be high fever, can also be low fever, may have chills, generally no chills.  ② Pain: joint pain in the limbs, neck and shoulder pain, low back pain, heel pain, etc., sometimes accompanied by joint swelling and joint effusion, resulting in functional impairment.  ③ Skin and oral cavity: skin erythema, perinail erythema, finger erythema, palm erythema, facial erythema, photosensitivity, reticular cyanosis, skin ulcers, purpura-like rash, frostbite like rash, mouth ulcers, dry mouth, vulvar ulcers, and hair loss.  ④Eyes: unexplained eye ulcers, dry eyes, painful conjunctival redness, iridocyclitis, vision loss, etc.  ⑤ Morning stiffness: stiffness of joints and low back in the morning or after rest, with restricted movement, affecting activities such as turning over, buttoning clothes, clenching fists, etc. This feeling disappears only after slow movement of the limbs.  (6) Raynaud’s disease: whitening of finger ends and toe ends when they are cold or emotionally agitated, then purple, red or accompanied by numbness and pain, and in severe cases, skin ulceration and necrosis of finger/toe ends may occur.  (7) Muscle pain and muscle weakness in the extremities. Since rheumatic diseases are mostly caused by immune factors, they may cause damage to internal organs, including heart, liver, brain, kidney, lung, blood and other multiple organs, in addition to the above symptoms, which may manifest as unexplained chest tightness, shortness of breath, pericardial effusion, pulmonary hypertension, interstitial fibrosis, increased transaminases, positive urine protein, leukopenia, thrombocytopenia, anemia and unexplained weakness, It is even the first or main symptom of the patient.  3, treatment misconceptions Many people believe that rheumatism is an incurable disease, so after suffering from rheumatism, not to carry out systematic and regular treatment, but to find a partial prescription, secret recipe, or partial belief in “Chinese medicine”, resulting in delayed diagnosis and treatment, resulting in disability, and even shorten life. In fact, as long as rheumatism patients can go to the rheumatology department in a timely manner, to achieve early diagnosis, early systematic and formal treatment, rheumatism is curable and preventable, especially with the massive development and application of biological agents, rheumatism patients who receive timely and correct treatment can also work, study and live like normal people.