Rheumatoid | Reference | RA vs. OS. vs AnS

Ref: RA vs. OS vs. AnS
Joints:
  • RA: MCP>PIPwrist.
  • OA: DIP>PIPspinehipknee.
  • AnS: sacroiliac jointsneck.
Classic deformities:
  • RA: swan neckulnar deviationwrist subluxationBoutonniere's deformity.
  • OA: Heberden'sBouchard's nodes.
  • AnS: neck hyperextensionkyphosisspinocranial ankylosis.
Morning stiffness:
  • RA: >30min.
  • OA: <30 min.
ESR:
  • RA: increased.
  • OA: normal.
  • AnS: increased in 50% of pts.
Rheumatoid factor:
  • RA: (+) in 70% of pts.
  • OA: (-).
  • AnS: ? 
NSAID response:
  • RA: usually some relief.
  • OA: variable relief.
  • AnS: variable relief
Treatment:
  • RA: OT/PTNSAIDsgoldpenicillimineetc.
  • OA: paracetamolweight lossjoint replacementexercise.
  • AnS: exercise instead of rest for backacheNSAIDs.
Imaging:
  • RA: juxta-articular osteroporosiserosions.
  • OA: osteophyteseburnationreduced joint space.
  • AnS: lumbar vertebrae squaringsacroilitisbamboo spine.

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