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Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects joints. [1] It typically results in warm, swollen, and painful joints. [1] Pain and stiffness often worsen following rest. [1] Most commonly, the wrist and hands are involved, with the same joints typically involved on both sides of the body. [1]
Rheumatoid neutrophilic dermatitis occurs more frequently in patients with severe, persistent seropositive arthritis; it presents clinically as erythematous papules, nodules, plaques, or lesions resembling urticaria without any accompanying symptoms. [3] [4] [5] Less common conditions include annular lesions, blisters, ulcers, and vesicles.
[2] [8] [9] The most common forms are osteoarthritis (most commonly seen in weightbearing joints) and rheumatoid arthritis. [2] Osteoarthritis usually occurs as an individual ages and often affects the hips, knees, shoulders, and fingers. [5] Rheumatoid arthritis is an autoimmune disorder that often affects the hands and feet. [5]
Arthritis symptoms in the distal interphalangeal articulations of hand (the joints closest to the tips of the fingers). This is not typical of rheumatoid arthritis. Ridging or pitting of fingernails or toenails (onycholysis), which is associated with psoriasis and psoriatic arthritis. Radiologic images demonstrating degenerative joint damage.
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About 20% of people with rheumatoid arthritis develop rheumatoid nodules, which are linked to more severe erosive disease in those patients. [2] The nodules are more common in men, typically manifest in the fifth decade of life, and are primarily found on extensor surfaces like the backs of the fingers and elbows, though they can occur anywhere.
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