The assessment of persons with RA requires a number of observations measures. There is not one single way to asses or get an impression of disease activity and prognosis.
The most accepted outcome measures used in clinical trials are derived from OMERACT 1 Conference (J Rheumatol 1994 21 (supplement 41) 86-9). These include the American College of Rheumatology Core Outcome measures.
Pain - visual analogue scale
Function - Health Assessment Questionnaire
Number of tender joints
Number of swollen joints
Patients global assessment - visual analogue scale
Physician's global assessment -visual analogue scale.
CRP or ESR
Improvement can be documented and an ACR 20% improvement incorporates 20% of tender and swollen joints and 3 of the 5 remaining core outcome measures. Outcome measures at 50% improvement can be similarly estimated. A minimum improvement on a DMARD would be 20% and an acceptable improvement may be 50%. There are separate criteria for remission, which is unfortunately uncommon.
It is not known what the cause for these are.
Probably
Yes. Elevated liver enzymes may have various causes in cases where there is rheumatoid arthritis . ranging from the rheumatic disease itself, as the result of anti-rheumatic medication or it be caused by an associated autoimmune disease.
the causes of arthritis are not yet understood howRaynaud's phenomenon has been seen with a number of conditions, including rheumatic diseases scleroderma, rheumatoid arthritis, systemic lupus erythematosus.
Philip Lewin has written: 'The foot and ankle' 'Arthritis and the rheumatic diseases'
rheumatic arthritis
Percy Wilde has written: 'The physiology of gout, rheumatism and arthritis as a guide to accurate diagnosis and efficient treatment' -- subject(s): Accessible book, Rheumatoid Arthritis, Gout, Arthritis, Rheumatic Diseases, Physiopathology
Yves Pawlotsky has written: 'Rhumatologie' -- subject(s): Arthrite, Arthritis, Rheumatic Diseases, Rhumatologie, Rhumatisme
There are about a hundred different form of arthritis some are non inflammatory and some are inflammatory RA is the main culprit in inflammatory arthritis's however gout is another, Go to the related link below (Types of Arthritis - Rheumatic Diseases - Related Conditions) if you would like to see more information on this topic.
There is no serious evidence that osmotic laxatives can help with rheumatoid arthritis or any other form of arthritis. Long term use of any form of laxative can have negative side effects on your health.
The difference between rheumatic fever and rheumatoid arthritis is that rheumatic fever affects the kidneys and heart and is typically caused by strep throat. Rheumatoid arthritis is arthritis.
amitriptyline is Classed as an antidepressant it may also be used to promote restful sleep in those with certain rheumatic diseases.