arthralgia
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Introduction
Joint pain.
Etiology
Epidemiology
- no association with rain[1]
Clinical manifestations
- pain with both active & passive range of motion implies intrinsic joint disease[3]
- pain with only active range of motion suggests periarticular pathology[3]
Laboratory
- anti-nuclear antibody (ANA)
- rheumatoid factor (RF)
- serum C-reactive protein (serum CRP)
- erythrocyte sedimentation rate (ESR)
- serum thyroid-stimulating hormone (serum TSH)
Radiology
- x-ray of affected joint(s)
- magnetic resonance imaging as indicated
Management
- if duration of arthralgias > 3 months, initiate diagnostic workup
- trial of steroids, prednisone 40 mg PO QD for 6 days
- return to clinic in one week
- if good response to prednisone & seronegative (ANA, RF), begin hydroxychloroquine (9 month trial)
- also see arthritis, bursitis
More general terms
More specific terms
Additional terms
- arthritis
- bursitis
- hydroxychloroquine (Plaquenil)
- prednisone (Deltasone, Orasone, Liquid Pred, Meticortin, Rayos)
References
- ↑ 1.0 1.1 Jena AB, Newhouse RL, Olenski AR et al Association between rainfall and diagnoses of joint or back pain: retrospective claims analysis. BMJ 2017;359:j5326 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29237605 <Internet> http://www.bmj.com/content/359/bmj.j5326
- ↑ Schaible HG, von Banchet GS, Boettger MK et al The role of proinflammatory cytokines in the generation and maintenance of joint pain. Ann N Y Acad Sci. 2010 Apr;1193:60-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20398009
- ↑ 3.0 3.1 3.2 Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015