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Rheumatoid arthritis is a chronic disease in which the body's immune system attacks the joints. The inflammation can become severe, impacting function and appearance of the hands, as well as other parts of the body. In the hand, rheumatoid arthritis may cause deformities in the joints of the fingers, making movement difficult. Lumps, known as rheumatoid nodules, may form over small joints in the hands and the wrist.
The Center for Joint Care is the one place in San Diego where patients with degenerative joint disease and pre-arthritic conditions receive advanced comprehensive joint care. Learn more.
Juvenile rheumatoid arthritis (JRA) is a form of arthritis in children ages 16 or younger that causes inflammation and stiffness of joints for more than six weeks. Unlike adult rheumatoid arthritis, which is chronic and lasts a lifetime, children often outgrow JRA. However, the disease can affect bone development in growing children.
The exact cause of rheumatoid arthritis is not known. Rheumatoid arthritis is an autoimmune disorder, which means the body's immune system attacks its own healthy cells and tissues. The response of the body causes inflammation in and around the joints, which then may lead to a destruction of the skeletal system. Rheumatoid arthritis may also have devastating effects on other organs, such as the heart and lungs. Researchers believe certain factors, including heredity, as well as smoking, may contribute to the onset of the disease.
Rheumatoid arthritis affects more women than men - 70 percent of rheumatoid arthritis suffers are women. The disease most often occurs between the ages of 30 and 50, but is becoming more prevalent in older individuals
The joints most commonly affected by rheumatoid arthritis are in the hands, wrists, feet, ankles, knees, shoulders and elbows. The disease typically causes inflammation symmetrically in the body, meaning the same joints are affected on both sides of the body, but there are many exceptions. Symptoms of rheumatoid arthritis may begin suddenly or gradually. People experience symptoms differently, but the following are the most common symptoms of rheumatoid arthritis in the hands:
The symptoms of rheumatoid arthritis may resemble other medical conditions or problems. Consult your physician for a diagnosis.
At UC San Diego Health System we have a board-certified rheumatologist who can provide a thorough examination, as well as any needed testing to determine whether or not you have rheumatoid arthritis.
Diagnosis of rheumatoid arthritis may be difficult in the early stages, because symptoms may be very subtle and go undetected on x-rays or blood tests. In addition to a complete physical examination and discussion of your medical history, diagnostic procedures for rheumatoid arthritis may include the following:
Studies have shown that damage to joints occurs in the majority of people with rheumatoid arthritis within two years. Irreversible joint damage, chronic pain and long-term disability can occur if rheumatoid arthritis is not diagnosed and treated aggressively early.
Initial treatment options include:
Our compassionate, patient-centered joint team provides customized joint replacement and resurfacing using the latest proven components and surgical techniques. The primary purpose of surgery is to reduce pain, improve the affected joint’s function and improve the patient’s ability to perform daily activities. Read more about joint replacement and resurfacing at the Center for Joint Care at UC San Diego Health System.
Read about other areas of expertise of UC San Diego Health System's orthopedic surgeons.
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