Arthralgia: Difference between revisions
No edit summary |
No edit summary |
||
Line 63: | Line 63: | ||
*[[Acute lymphoblastic leukemia]] | *[[Acute lymphoblastic leukemia]] | ||
*[[Acromegaly]] | *[[Acromegaly]] | ||
Acute myeloid leukemia | *[[Acute myeloid leukemia]] | ||
Acute promyelocytic leukemia | *[[Acute promyelocytic leukemia]] | ||
Adhesive capsulitis of shoulder | *[[Adhesive capsulitis]] of shoulder | ||
Alkhurma virus | *Alkhurma virus | ||
Ankylosing spondylitis | *[[Ankylosing spondylitis]] | ||
Arthrofibrosis | *[[Arthrofibrosis]] | ||
*[[Atypical pneumonia]] | *[[Atypical pneumonia]] | ||
Autoimmune Hepatitis | *[[Autoimmune Hepatitis]] | ||
Avascular necrosis | *[[Avascular necrosis]] | ||
Baker's cyst | *[[Baker's cyst]] | ||
Barmah Forest virus | *[[Barmah Forest virus]] | ||
*[[Behcet's disease]] | *[[Behcet's disease]] | ||
*[[Bismuth]] | *[[Bismuth]] | ||
Line 263: | Line 263: | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| [[Bismuth]], [[Carbimazole]], [[Ciprofloxacin]], [[Deferiprone]], [[Fluorosis]], [[Isotretinoin]], [[Methimazole]], [[Mianserin]], [[mirtazapine]], [[nefazodone]], [[Nalidixic acid]], [[Nateglinide]], [[Norfloxacin]], [[Propylthiouracil]], [[Pyrazinamide]], [[Trastuzumab]], [[Zotepine]] | |bgcolor="Beige"| [[Bismuth]], [[Carbimazole]], [[Ciprofloxacin]], [[Deferiprone]], [[Fluorosis]], [[Isotretinoin]], [[Methimazole]], [[Mianserin]], [[mirtazapine]], [[nefazodone]], [[Nalidixic acid]], [[Nateglinide]], [[Norfloxacin]], [[Propylthiouracil]], [[Pyrazinamide]], [[Trastuzumab]], [[Zotepine]], [[Avascular necrosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
Line 271: | Line 271: | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"|[[Acromegaly]], [[Obesity]] | |bgcolor="Beige"|[[Acromegaly]], [[Obesity]], [[Avascular necrosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
Line 279: | Line 279: | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| [[Coeliac disease]], [[Crohn's disease]], [[Hepatitis]] A, B, C, [[Ulcerative Colitis]], [[Whipple disease]], [[Wilson's disease]] | |bgcolor="Beige"| [[Coeliac disease]], [[Crohn's disease]], [[Hepatitis]] A, B, C, [[Ulcerative Colitis]], [[Whipple disease]], [[Wilson's disease]], [[Autoimmune Hepatitis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Ankylosing spondylitis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| [[Haemochromatosis]], [[Haemophilia type A]], [[Henoch-Schönlein purpura]] | |bgcolor="Beige"| [[Haemochromatosis]], [[Haemophilia type A]], [[Henoch-Schönlein purpura]], [[Acute myeloid leukemia]], [[Acute promyelocytic leukemia]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| *[[Arthrofibrosis]], | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
Line 297: | Line 297: | ||
|bgcolor="Beige"| [[Atypical pneumonia]], [[Borrelia burgdorferi]], [[Lyme Disease]], [[Chikungunya virus]], [[Coccidioidomycosis]] lung infection, [[Community-acquired pneumonia]] | |bgcolor="Beige"| [[Atypical pneumonia]], [[Borrelia burgdorferi]], [[Lyme Disease]], [[Chikungunya virus]], [[Coccidioidomycosis]] lung infection, [[Community-acquired pneumonia]] | ||
[[Hepatitis]] A; B; C, [[Lepromatous leprosy]], [[Lyme disease]], [[Malaria]], Mayaro virus fever, [[Mycoplasma pneumoniae]], O'nyong-nyong fever, [[Parvovirus B19]] infection, [[Pharyngitis]], [[Rat bite fever]], [[Rheumatic Fever]], [[Ross River virus]], [[Rubella]], | [[Hepatitis]] A; B; C, [[Lepromatous leprosy]], [[Lyme disease]], [[Malaria]], Mayaro virus fever, [[Mycoplasma pneumoniae]], O'nyong-nyong fever, [[Parvovirus B19]] infection, [[Pharyngitis]], [[Rat bite fever]], [[Rheumatic Fever]], [[Ross River virus]], [[Rubella]], | ||
[[syphilis]], Semliki forest fever, [[Serum sickness]], [[Toxic shock syndrome]], [[Trichinosis]], [[West Nile fever]], [[Whipple disease]] | [[syphilis]], Semliki forest fever, [[Serum sickness]], [[Toxic shock syndrome]], [[Trichinosis]], [[West Nile fever]], [[Whipple disease]], [[Barmah Forest virus]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
Line 303: | Line 303: | ||
|bgcolor="Beige"| [[Blau syndrome]], [[Borrelia burgdorferi]], [[Fibromyalgia]], [[Gout]], | |bgcolor="Beige"| [[Blau syndrome]], [[Borrelia burgdorferi]], [[Fibromyalgia]], [[Gout]], | ||
congenital [[Hip dysplasia]], [[Hypertrophic pulmonary osteoarthropathy]], Jacobs arthropathy-camptodactyly syndrome, [[Juvenile idiopathic arthritis]], Lipoid dermatoarthritis, [[Lupus erythematosus]], [[Lyme disease]], [[Mixed connective tissue disease]], | congenital [[Hip dysplasia]], [[Hypertrophic pulmonary osteoarthropathy]], Jacobs arthropathy-camptodactyly syndrome, [[Juvenile idiopathic arthritis]], Lipoid dermatoarthritis, [[Lupus erythematosus]], [[Lyme disease]], [[Mixed connective tissue disease]], | ||
Multiple epiphyseal dysplasia, [[Osteoarthritis]], [[Osteochondritis]] dissecans, [[Paget's disease of bone]], [[Palindromic rheumatism]], PAPA syndrome, [[Pigmented villonodular synovitis]], [[Polyarteritis nodosa]], [[Polychondritis]], Relapsing, Progressive pseudorheumatoid dysplasia, [[Pseudogout]], Recurrent hereditary [[polyserositis]], [[Rheumatoid arthritis]], [[Scleroderma]], Sclerosing [[osteomyelitis]] of Garre, [[Sjögren's syndrome]], [[Still's Disease]], [[Synovial chondromatosis]], [[Systemic sclerosis]], [[Takayasu's arteritis]], [[gout]] | Multiple epiphyseal dysplasia, [[Osteoarthritis]], [[Osteochondritis]] dissecans, [[Paget's disease of bone]], [[Palindromic rheumatism]], PAPA syndrome, [[Pigmented villonodular synovitis]], [[Polyarteritis nodosa]], [[Polychondritis]], Relapsing, Progressive pseudorheumatoid dysplasia, [[Pseudogout]], Recurrent hereditary [[polyserositis]], [[Rheumatoid arthritis]], [[Scleroderma]], Sclerosing [[osteomyelitis]] of Garre, [[Sjögren's syndrome]], [[Still's Disease]], [[Synovial chondromatosis]], [[Systemic sclerosis]], [[Takayasu's arteritis]], [[gout]], [[Adhesive capsulitis]] of shoulder, [[Ankylosing spondylitis]], [[Arthrofibrosis]], [[Avascular necrosis]], [[Baker's cyst]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
Line 319: | Line 320: | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| [[Acute lymphoblastic leukemia]], [[Multiple myeloma]], [[Pigmented villonodular synovitis]] | |bgcolor="Beige"| [[Acute lymphoblastic leukemia]], [[Multiple myeloma]], [[Pigmented villonodular synovitis]], [[Acute myeloid leukemia]], [[Acute promyelocytic leukemia]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
Line 344: | Line 345: | ||
| '''Rheum / Immune / Allergy''' | | '''Rheum / Immune / Allergy''' | ||
|bgcolor="Beige"|"|[[Behcet's disease]], [[Caplan's disease]], [[Coeliac disease]], [[Crohn's disease]], [[Dressler's syndrome]], [[Erythema elevatum diutinum]], [[Hypothyroidism]], | |bgcolor="Beige"|"|[[Behcet's disease]], [[Caplan's disease]], [[Coeliac disease]], [[Crohn's disease]], [[Dressler's syndrome]], [[Erythema elevatum diutinum]], [[Hypothyroidism]], | ||
Juvenile chronic arthritis, [[Lupus erythematosus]], [[Mixed connective tissue disease]], [[Polyarteritis nodosa]], [[Polychondritis]], Relapsing [[Pyoderma gangrenosum]], [[Rheumatic Fever]], [[Rheumatoid arthritis]], [[Sarcoidosis]], [[Scleroderma]] , [[Serum sickness]], [[Sjögren's syndrome]], [[Still's Disease]], [[Systemic sclerosis]], [[Takayasu's arteritis]], [[Takayasu's arteritis]], [[Wegener's granulomatosis]] | Juvenile chronic arthritis, [[Lupus erythematosus]], [[Mixed connective tissue disease]], [[Polyarteritis nodosa]], [[Polychondritis]], Relapsing [[Pyoderma gangrenosum]], [[Rheumatic Fever]], [[Rheumatoid arthritis]], [[Sarcoidosis]], [[Scleroderma]] , [[Serum sickness]], [[Sjögren's syndrome]], [[Still's Disease]], [[Systemic sclerosis]], [[Takayasu's arteritis]], [[Takayasu's arteritis]], [[Wegener's granulomatosis]], [[Ankylosing spondylitis]], [[Autoimmune Hepatitis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" |
Revision as of 23:22, 15 April 2009
Arthralgia | |
ICD-10 | M25.5 |
---|---|
ICD-9 | 719.4 |
DiseasesDB | 15237 |
MeSH | D018771 |
WikiDoc Resources for Arthralgia |
Articles |
---|
Most recent articles on Arthralgia |
Media |
Evidence Based Medicine |
Clinical Trials |
Ongoing Trials on Arthralgia at Clinical Trials.gov Clinical Trials on Arthralgia at Google
|
Guidelines / Policies / Govt |
US National Guidelines Clearinghouse on Arthralgia
|
Books |
News |
Commentary |
Definitions |
Patient Resources / Community |
Patient resources on Arthralgia Discussion groups on Arthralgia Patient Handouts on Arthralgia Directions to Hospitals Treating Arthralgia Risk calculators and risk factors for Arthralgia
|
Healthcare Provider Resources |
Causes & Risk Factors for Arthralgia |
Continuing Medical Education (CME) |
International |
|
Business |
Experimental / Informatics |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: John Fani Srour, M.D.
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Overview
Arthralgia (from Greek arthro-, joint + -algos, pain) literally means joint pain; [1][2] it is a symptom of injury, infection, illnesses -- in particular arthritis-- or an allergic reaction to medication.[3]
According to MeSH, the term "arthralgia" should only be used when the condition is non-inflammatory, and the term "arthritis" should be used when the condition is inflammatory.[4]
Diagnosis and Causes
Diagnosis involves interviewing the patient and performing physical exams. When attempting to establish the cause of the arthralgia, the emphasis is on the interview [2]. The patient is asked questions intended to narrow the number of potential causes. Given the varied nature of these possible causes, the questions may strike the uninitiated as irrelevant. For example the patient may be asked about dry mouth, light sensitivity, rashes or a history of seizures.[2] [5] Answering yes or no to any of these questions limits the number of possible causes and guides the doctor toward the appropriate exams and lab tests.
The causes of arthralgia are varied and range from, a joints perspective, degenerative and destructive processes such as osteoarthritis and sports injuries to inflammation of tissues surrounding the joints (e.g. bursitis, a painful inflammation of bursa, fluid filled sacks around the joints). [6]
Treatment
Treatment depends on specific underlying cause. The underlying cause will be treated first and foremost. The treatments may include joint replacement surgery, for severely damaged joints, immunosuppressants for immune system dysfunction, antibiotics when an infection is the cause, and discontinuing medication when an allergic reaction is the cause. When treating the primary cause, pain management may still play a role in treatment. The extent of its role varies depending on the specific cause of the arthralgia. Pain management may include stretching exercises, over the counter pain medications, prescription pain medication, or other treatments deemed appropriate for the symptoms.
Complete Differential Diagnosis of the Causes of Arthralgia
(In alphabetical order)
- Acute lymphoblastic leukemia
- Acromegaly
- Acute myeloid leukemia
- Acute promyelocytic leukemia
- Adhesive capsulitis of shoulder
- Alkhurma virus
- Ankylosing spondylitis
- Arthrofibrosis
- Atypical pneumonia
- Autoimmune Hepatitis
- Avascular necrosis
- Baker's cyst
- Barmah Forest virus
- Behcet's disease
- Bismuth
- Blau syndrome (granulomatous arthritis, iritis, and skin rash)
- Borrelia burgdorferi (Lyme Disease)
- Bruton's agammaglobulinemia
Bursitis
Celiac Sprue
Chlamydia trachomatis
- Chronic fatigue syndrome
- Ciprofloxacin (Quinolone-induced cartilage toxicity in children)
- Coccidioidomycosis lung infection
- Coeliac disease
- Community-acquired pneumonia
Complex regional pain syndrome
Dengue fever
- Diffuse idiopathic skeletal hyperostosis
Diastasis symphysis pubis
Ebola
Erythema nodosum
- Erythema elevatum diutinum (is a rare type of leukocytoclastic vasculitis characterized by red, purple, brown, or yellow papules, plaques, or nodules)
Familial Mediterranean fever
Gamekeeper's thumb Gaucher's disease Giant cell tumor of bone Gluten-sensitive enteropathy associated conditions Golfer's elbow Gonorrhea
- Gout
- Graft versus host disease
- Haemochromatosis
- Haemophilia type A
- Henoch-Schönlein purpura
- Hepatitis A, B, C
Hereditary multiple exostoses
- Hip dysplasia, congenital
Hurler syndrome
- Hyperimmunoglobulinemia D and periodic fever syndrome ( attacks of fever, arthralgia, skin lesions, and diarrhea)
- Hypertrophic pulmonary osteoarthropathy
- Hypothyroidism
Iliotibial band syndrome
- Interstitial nephritis
- Isotretinoin
- Jacobs arthropathy-camptodactyly syndrome
- Juvenile chronic arthritis
- Kawasaki disease
Kikuchi disease Kniest dysplasia Legg-Calve-Perthes syndrome
Leukemia Ligamentous laxity Limb-girdle muscular dystrophy
- Lipoid dermatoarthritis
- Lupus erythematosus
- Lyme disease
- Malaria
Marfan syndrome
- Mayaro virus fever
Metal fume fever
- Methimazole
- Mianserin (antidepressant, also mirtazapine and nefazodone are associated with arthralgia)
- Mixed connective tissue disease
- Morphoea/scleroderma
- Multiple epiphyseal dysplasia: Recessive Multiple Epiphyseal Dysplasia
- Multiple myeloma
Muscular dystrophy
Neuropathic joint disease Noonan's Syndrome
- Norfloxacin
- Obesity
- O'nyong-nyong fever
- Osteoarthritis
- Osteochondritis dissecans
Osteoporosis Otospondylomegaepiphyseal dysplasia
- Paget's disease of bone
- Palindromic rheumatism (idiopathic, periodic arthritis marked by multiple and recurrent attacks affecting one to a few joints, with tissue inflammation around or adjacent to them)
- PAPA syndrome ( Pyogenic arthritis, pyoderma gangrenosum and acne (PAPA) syndrome)
- Parvovirus B19 infection
- Pharyngitis
- Pigmented villonodular synovitis
- Pituitary tumour (*Acromegaly, growth hormone secreting tumor)
Piriformis syndrome Plantar fasciitis pneumoconiosis]]) Poliomyelitis
- Polyarteritis nodosa
- Polychondritis, Relapsing
- Progressive pseudorheumatoid dysplasia
- Propylthiouracil
Psoriasis
- Pyoderma gangrenosum
- Pyrazinamide
- Pyrophosphate arthropathy (Pseudogout)
- Rat bite fever (Streptobacillus moniliformis or Spirillum minus)
Reactive arthritis Recessive Multiple Epiphyseal Dysplasia]]
- Recurrent hereditary polyserositis
Relapsing fever Renal osteodystrophy Retropatellar Pain Syndrome
Rocky Mountain spotted fever
Scoliosis Secondary hyperparathyroidism Semliki forest fever
- Sclerosing osteomyelitis of Garre
- Secondary syphilis
- Semliki forest fever
- Serum sickness
- Sickle cell disease
- Sjögren's syndrome
Slipped Upper Femoral Epiphysis Soft tissue sarcoma Spondylitis Spondylolisthesis Spondylosis
- Stickler syndrome
- Still's Disease, Juvenile-Onset
Subacromial bursitis
Symphysis pubis dysfunction
Tennis elbow Tenosynovitis Thrombotic thrombocytopenic purpura
Tuberculosis Tularemia
Viral Hepatitis B Viral Hepatitis C Viral Hepatitis D
- Urate crystal arthropathy (gout)
- Waldenström macroglobulinemia
- Wegener's granulomatosis
- West Nile fever
- Whipple disease
- Wilson's disease
- Wissler-Fanconi syndrome
Wissler-Fanconi syndrome Yellow fever Yersinia enterocolitica Infection (Yersiniosis) Yersinia pseudotuberculosis Zika fever
Complete Differential Diagnosis of the Causes of Arthralgia
(By organ system)
See also
References
- ↑ "Arthralgia Definition" (HTML). MedicineNet.com. Retrieved 2007-09-20.
- ↑ 2.0 2.1 2.2 Joe G. Hardin. "Arthralgia" (HTML). Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ↑ James R Philp. "Allergic Drug Reactions - Systemic Allergic Drug Reactions" (HTML). Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ↑ "MeSH". Retrieved 2007-12-23.
- ↑ "Table 159.3. Selected Symptomatic Extraarticular Features of the Connective Tissue Diseases and the Spondyloarthropathies" (HTML). Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ↑ Joe G. Hardin. "Table 161.1. Some Common Regional Rheumatic Syndromes" (HTML). Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
External links
Template:Diseases of the musculoskeletal system and connective tissue Template:SIB