-Poor prognosis of rheumatoid disease.

Poor prognosis of rheumatoid disease
"I'm fresh"

Insidious onset.
Male patient.

Functional disability at the 1st year after start of disease.
Radiographic evidence of erosion.
Extra-articular manifestations.
Subcutanous nodules.
High positive Rheumatoid factor.

Dr Ibrahim

-Grading of function in rheumataid disease.

Grading of function in rheumataid disease

I Fit for all activities.
II Moderate restriction.
III Marked restriction.
IV Confined to chair or bedbound.

Dr Ibrahim
Return to list of medical grades (click here)

- Caplan's syndrome.

Caplan's syndrome

*Def:-It is is a combination of rheumatoid arthritis and pneumoconiosis that manifests as intrapulmonary nodules.
*Synonyms:- rheumatoid pneumoconiosis.

*Causes:-

It occurs only in patient with both rheumatoid arthritis and pneumoconiosis related to mining dust (coal, asbestos, silica)so occurs in miners (especially those working in anthracite coal-mines), asbestosis, silicosis and other pneumoconioses.

- Felty's syndrome.

Felty's syndrome

*DeF:- It is a disorder characterized by the combination of rheumatoid arthritis, splenomegaly,neutropenia and repeated infections.
*It occurs in 5% of adult.

*Clinical picture:-

• Skin pigmentation and generalized lymphadenopathy.
• Splenomegaly.
• Hepatomegaly.
• Highly erosive and deforming arthiritis.
• L.E cells are +ve.
• Neutropenia so increase liability to certain infections.
• Fever, weight loss, and/or fatigue.