What is Rhematoid arthritis?
Rheumatoid
arthritis is a chronic (long-standing) joint disease that damages the joints of
the body. The damage is caused by inflammation of the joint lining tissue.
Inflammation is normally a response by the body's immune system to
"assaults" such as infections, wounds, and foreign objects. In
rheumatoid arthritis, the inflammation is misdirected to attack the joints.
Rheumatoid arthritis is often referred to as RA.
·
The inflammation in the joints causes pain,
stiffness, and swelling, as well as many other symptoms.
·
The inflammation often affects other organs
and systems of the body.
·
If the inflammation is not slowed or stopped,
it can permanently damage the affected joints and other tissues.
Rheumatoid
arthritis should not be confused with other forms of arthritis,
such as osteoarthritis or
arthritis associated with infections. Rheumatoid arthritis is an autoimmune disease.
This means that the body's immune system mistakenly attacks the tissues it is
supposed to protect.
·
The immune system produces specialized cells
and chemicals, which are released into the bloodstream and begin to attack body
tissues.
·
This abnormal immune response causes an
inflamed, thickened synovium, the membrane that lines the joint. Inflammation
of the synovium is called synovitis and is the hallmark of an inflammatory
arthritis such as rheumatoid arthritis.
·
As the synovitis expands inside and outside
of the joint, it can damage the bone and cartilage of
joint and the surrounding tissues, such as ligaments, tendons, nerves, and
blood vessels.
Rheumatoid
arthritis most often affects the smaller joints, such as those of the hands
and/or feet, wrists, elbows, knees, and/or ankles. The symptoms often lead to
significant discomfort and disability.
·
Many people with rheumatoid arthritis have
difficulty carrying out normal activities of daily living, such as standing,
walking, dressing, washing, using the toilet, preparing food, and carrying out
household chores.
·
The symptoms of rheumatoid arthritis
interfere with work for many people. As many as half of those with rheumatoid arthritis
are no longer able to work 10-20 years after their condition is diagnosed.
·
On average, life expectancy is somewhat
shorter for people with rheumatoid arthritis than for general population. This
does not mean that everyone with rheumatoid arthritis has a shortened life
span. Rheumatoid arthritis itself is not a fatal disease.
However, it can be
associated with manycomplications and treatment-related side effects that can
contribute to premature death.
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