Summary
Differentials
Common
- Ankylosing spondylitis
- Psoriatic arthritis
- Reactive arthritis
- Undifferentiated spondyloarthropathy
- Calcium pyrophosphate deposition disease (CPPD)
- Gout
- Polymyalgia rheumatica
- Osteoarthritis
- Rheumatoid arthritis (RA)
- Systemic lupus erythematosus
- Septic arthritis
- Bacterial endocarditis
- Viral arthritis
Uncommon
- Enteropathic arthritis
- Remitting seronegative symmetrical synovitis with pitting edema syndrome
- Sarcoidosis
- Juvenile-onset or adult-onset idiopathic arthritis
- Overlap syndrome
- Sjogren syndrome
- Scleroderma
- Polymyositis
- Dermatomyositis
- Systemic vasculitis
- Gonococcal arthritis
- Rheumatic fever
- Lyme disease
- Whipple disease
- Tuberculous arthritis
- Paraneoplastic arthritis
- Neoplastic carcinomatosis
Contributors
Authors
Gurjit S. Kaeley, MBBS, MRCP
Professor of Medicine
Chief, Division of Rheumatology and Clinical Immunology
Medical Director, Musculoskeletal Ultrasound Program
Program Director, Rheumatology Fellowship
University of Florida College of Medicine - Jacksonville
Jacksonville
FL
Disclosures
GSK declares that he has no competing interests.
Peer reviewers
Jacob Aelion, MD
Clinical Professor of Medicine
University of Tennessee Health Science Center
Memphis
TN
Disclosures
JA is a consultant and on the speakers' roster for Abbott, Amgen, Forrest, Roche, Takeda, UCB, Wyeth. JA has received research funding from NIH and the National Psoriasis Foundation.
William Taylor, PhD, MBChB, FAFRM, FRACP
Associate Professor; Head
Rehabilitation Teaching and Research Unit
Department of Medicine
University of Otago
Wellington
New Zealand
Disclosures
WT declares that he has no competing interests.
Rod Hughes, MA, MD, FRCP
Consultant Rheumatologist
Ashford and St Peter's Hospitals NHS Trust
Chertsey
Surrey
UK
Disclosures
RH declares that he has no competing interests.
Richard Rynes, MD
Clinical Professor of Medicine
University of Washington
Seattle
WA
Disclosures
RR declared that he had no competing interests. We have since been made aware that RR is deceased.
References
Key articles
Zhang W, Doherty M, Bardin T, et al. European League Against Rheumatism recommendations for calcium pyrophosphate deposition. Part I: terminology and diagnosis. Ann Rheum Dis. 2011;70:563-570. Abstract
Dirken-Heukensfeldt KJ, Teunissen TA, van de Lisdonk H, et al. Clinical features of women with gout arthritis: a systematic review. Clin Rheumatol. 2010;29:575-582.Full text Abstract
Klippel JH, Dieppe PA, eds. Rheumatology. 2nd ed. London, UK: Mosby International; 1998.
Suresh E. Diagnostic approach to patients with suspected vasculitis. Postgrad Med J. 2006;82:483-488.Full text Abstract
Margaretten ME, Kohlwes J, Moore D, et al. Does this adult patient have septic arthritis? JAMA. 2007 Apr 4;297(13):1478-88. Abstract
Gladman DD. Clinical aspects of spondyloarthropathies. Am J Med Sci. 1998;316;234-238. Abstract
Mandl P, Navarro-Compán V, Terslev L, et al; European League Against Rheumatism (EULAR). EULAR recommendations for the use of imaging in the diagnosis and management of spondyloarthritis in clinical practice. Ann Rheum Dis. 2015;74:1327-1339.Full text Abstract
Thevissen K, Vercoutere W, Bombardier C, et al. Diagnostic and prognostic value of synovial biopsy in adult undifferentiated peripheral inflammatory arthritis: a systematic review. J Rheumatol Suppl. 2011;87:45-47. Abstract
Ruddy S, Harris ED Jr., Sledge CB, eds. Kelley's textbook of rheumatology. 6th ed. Philadelphia, PA: W.B. Saunders Company; 2001.
Reference articles
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