Arthritis Cure In the hands, this damage causes enlarged joints and crooked fingers. Symptoms of Hand Osteoarthritis. Many symptoms of hand osteoarthritis are similar to the ...
Erosive (inflammatory) osteoarthritis is a form of hand osteoarthritis (OA) where, as the name implies, there is an additional erosive/inflammatory component.
There is marked female predilection (F:M ~12:1), typically presenting in the postmenopausal patient.
Clinically the presentation mimics inflammatory arthropathies such as psoriatic arthritis (PsA) or rheumatoid arthritis (RA). Patients complain of a relatively the 1 last update 2020/07/09 acute or subacute onset of morning stiffness in the fingers of both hands. Systemic symptoms, however, are absent.Clinically the presentation mimics inflammatory arthropathies such as psoriatic arthritis (PsA) or rheumatoid arthritis (RA). Patients complain of a relatively acute or subacute onset of morning stiffness in the fingers of both hands. Systemic symptoms, however, are absent.
Erosive osteoarthritis exhibits a combination of degenerative cartilage changes as well as a rheumatoid arthritis-like proliferative synovitis 7. Erosive osteoarthritis is a subset of non-erosive OA, rather than a disease in its own right 8,9.
Erosive osteoarthritis has a predilection for the hands. The dominant features are those of osteoarthritis, particularly in terms of distribution:
Additional characteristic features include:
Treatment is conservative unless the disease advances to joint destruction and/or contractures, which may require surgical arthrodesis, arthroplasty, or tendon repair.
The prognosis is good with remission after several years being seen in most patients. The degenerative changes of course remain and are then merely those of osteoarthritis.
Arthritis Curehow to Arthritis Cure for Imaging differential considerations include:
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