Polyarthritis: Difference between revisions

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Revision as of 18:58, 18 April 2018

Template:DiseaseDisorder infobox

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Polyarthritis is any type of arthritis which involves five or more joints - an inflammation of two, three or four joints is an oligoarthritis.

Causes

Polyarthritis is most often caused by an auto-immune disorder such as Rheumatoid arthritis, Psoriatic arthritis, and Lupus erythematosus but can also be caused by infections such as Ross River Virus.

Differential Diagnosis of Polyarthritis

			Symptoms					Lab Findings				Imaging	Histopathology
Diseases			Clinical manifestations					Para-clinical findings						Gold standard	Additional findings
			Symptoms				Physical examination	Para-clinical findings
			Joint Swelling	Fever	Weight loss	Claudication		Biomarker	CBC	ESR	Other	Imaging	Histopathology
Polyarthritis	Infectious arthritis	Lyme disease
	Infectious arthritis	Bacterial endocarditis
	Postinfectious (reactive) arthritis	Rheumatic fever
		Reactive arthritis
		Enteric infection
	Other seronegative spondyloarthritides	Ankylosing spondylitis
		Psoriatic arthritis
		Inflammatory bowel disease
	Rheumatoid arthritis
	Inflammatory osteoarthritis
	Crystal-induced arthritis
	Systemic rheumatic illnesses	Systemic lupus erythematosus
		Systemic vasculitis
		Systemic sclerosis
		Polymyositis/dermatomyositis
		Still's disease
		Behçet's syndrome
		Relapsing polychondritis
		Autoinflammatory disorders
	Other systemic illnesses	Sarcoidosis
		Palindromic rheumatism
		Familial Mediterranean fever
		Malignancy
		Hyperlipoproteinemias
Polyarticular pain	Viral arthritis	Hepatitis B and C
		Rubella
		Parvovirus
	Fibromyalgia
	Soft tissue abnormalities
	Hypothyroidism
	Neuropathic pain
	Metabolic bone disease
	Depression

References

Template:WH Template:WS

@@ Line 19: / Line 19: @@
 ! colspan="3" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Diseases
 | colspan="5" rowspan="1" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Clinical manifestations'''
-! colspan="9" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Para-clinical findings
+! colspan="6" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Para-clinical findings
 | colspan="1" rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |'''Gold standard'''
 ! rowspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Additional findings
@@ Line 27: / Line 27: @@
 |-
 ! colspan="4" align="center" style="background:#4479BA; color: #FFFFFF;" |Lab Findings
-! colspan="4" rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Imaging
+! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Imaging
 ! rowspan="2" align="center" style="background:#4479BA; color: #FFFFFF;" |Histopathology
 |-
@@ Line 42: / Line 42: @@
 ! rowspan="2" |Infectious arthritis
 !Lyme disease
-!
-!
-!
 !
 !
@@ Line 60: / Line 57: @@
 |-
 !Bacterial endocarditis
-!
-!
-!
 !
 !
@@ Line 80: / Line 74: @@
 !Rheumatic fever
-!
-!
-!
 !
 !
@@ Line 98: / Line 89: @@
 |-
 !Reactive arthritis
-!
-!
-!
 !
 !
@@ Line 116: / Line 104: @@
 |-
 !Enteric infection
-!
-!
-!
 !
 !
@@ Line 136: / Line 121: @@
 !Ankylosing spondylitis
-!
-!
-!
 !
 !
@@ Line 154: / Line 136: @@
 |-
 !Psoriatic arthritis
-!
-!
-!
 !
 !
@@ Line 172: / Line 151: @@
 |-
 !Inflammatory bowel disease
-!
-!
-!
 !
 !
@@ Line 190: / Line 166: @@
 |-
 !'''Rheumatoid arthritis'''
-!
-!
-!
 !
 !
@@ Line 209: / Line 182: @@
 |-
 !'''Inflammatory osteoarthritis'''
-!
-!
-!
 !
 !
@@ Line 228: / Line 198: @@
 |-
 !'''Crystal-induced arthritis'''
-!
-!
-!
 !
 !
@@ Line 248: / Line 215: @@
 ! rowspan="8" |'''Systemic rheumatic illnesses'''
 !Systemic lupus erythematosus
-!
-!
-!
 !
 !
@@ Line 266: / Line 230: @@
 |-
 !Systemic vasculitis
-!
-!
-!
 !
 !
@@ Line 284: / Line 245: @@
 |-
 !Systemic sclerosis
-!
-!
-!
 !
 !
@@ Line 302: / Line 260: @@
 |-
 !Polymyositis/dermatomyositis
-!
-!
-!
 !
 !
@@ Line 320: / Line 275: @@
 |-
 !Still's disease
-!
-!
-!
 !
 !
@@ Line 338: / Line 290: @@
 |-
 !Behçet's syndrome
-!
-!
-!
 !
 !
@@ Line 356: / Line 305: @@
 |-
 !Relapsing polychondritis
-!
-!
-!
 !
 !
@@ Line 374: / Line 320: @@
 |-
 !Autoinflammatory disorders
-!
-!
-!
 !
 !
@@ Line 393: / Line 336: @@
 ! rowspan="5" |'''Other systemic illnesses'''
 !Sarcoidosis
-!
-!
-!
 !
 !
@@ Line 411: / Line 351: @@
 |-
 !Palindromic rheumatism
-!
-!
-!
 !
 !
@@ Line 429: / Line 366: @@
 |-
 !Familial Mediterranean fever
-!
-!
-!
 !
 !
@@ Line 447: / Line 381: @@
 |-
 !Malignancy
-!
-!
-!
 !
 !
@@ Line 465: / Line 396: @@
 |-
 !Hyperlipoproteinemias
-!
-!
-!
 !
 !
@@ Line 485: / Line 413: @@
 ! rowspan="3" |Viral arthritis
 |'''Hepatitis B and C'''
-!
-!
-!
 !
 !
@@ Line 503: / Line 428: @@
 |-
 |'''Rubella'''
-!
-!
-!
 !
 !
@@ Line 521: / Line 443: @@
 |-
 |'''Parvovirus'''
-!
-!
-!
 !
 !
@@ Line 539: / Line 458: @@
 |-
 ! colspan="2" |Fibromyalgia
-!
-!
-!
 !
 !
@@ Line 557: / Line 473: @@
 |-
 ! colspan="2" |Soft tissue abnormalities
-!
-!
-!
 !
 !
@@ Line 575: / Line 488: @@
 |-
 ! colspan="2" |Hypothyroidism
-!
-!
-!
 !
 !
@@ Line 593: / Line 503: @@
 |-
 ! colspan="2" |Neuropathic pain
-!
-!
-!
 !
 !
@@ Line 611: / Line 518: @@
 |-
 ! colspan="2" |Metabolic bone disease
-!
-!
-!
 !
 !
@@ Line 629: / Line 533: @@
 |-
 ! colspan="2" |Depression
-!
-!
-!
 !
 !