WOA Annual meeting
presents
Wheeless' Textbook of Orthopaedics

American Rheumatism Association Diagnostic Criteria for R.A





- RA Criteria: (if 5 out of following are present for > 6 weeks);
    - morning stiffness;
    - pain on motion, or tenderness in at least one joint;
    - swelling (soft tissue thickening or fluid, not bony overgrowth alone)
          in at least one joint;
    - swelling of at least one other joint (any interval free of joint
          symptoms between the two joint;
    - poor mucin precipitate from synovial fluid
    - characteristic histologic changes in Synovium
    - characteristic histologic changes in nodules
- Exclusion Criteria:
    - rash of systemic lupus erythematosus
    - high concentration of LE cells, or other clear-cut evidence of lupus;
    - histologic evidence of periarteritis nodosa;
    - clinical features of dermatomyositis, scleroderma;
    - Acute Rheumatic Fever;
    - gouty arthritis
    - Infectious arthritis
    - Reiter's syndrome
    - shoulder-hand syndrome
    - hypertrophic osteoarthropathy
    - neuroarthropathy
    - alkaptonuria
    - sarcoidosis
    - multiple myeloma
    - erythema nodosum
    - leukemia, lymphoma, or agammaglobulinemia

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Review Articles: Current Concepts: Acute Monoarthritis.

Review Article: Current Concepts: Polyarthritis And Fever.




Original Text by Clifford R. Wheeless, III, MD.