Última revisión: 26 Ago 2021
Última actualización: 28 Mayo 2021

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • artritis simétrica activa >6 semanas de duración
  • 50 a 55 años de edad
  • sexo femenino
  • dolor en las articulaciones
  • inflamación de las articulaciones

Otros factores de diagnóstico

  • rigidez matinal
  • deformidad de cuello de cisne
  • deformidad de Boutonniere
  • desviación cubital
  • nódulos reumatoides
  • lesiones vasculíticas
  • dolor torácico pleurítico
  • escleritis y/o uveítis

Factores de riesgo

  • predisposición genética
  • tabaquismo

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • factor reumatoide (FR)
  • anticuerpo antipéptido cíclico citrulinado (anti-CCP)
  • radiografías
  • ecografía

Algoritmo de tratamiento

Colaboradores

Autores

Yusuf Yazici, MD
Yusuf Yazici

Clinical Associate Professor of Medicine

New York University School of Medicine

New York

NY

Divulgaciones

YY receives research support from BMS, and Genentech; he has consulted for Amgen, BMS, and Sanofi.

Revisores por pares

Chris Deighton, BMedSc, MD, FRCP

Consultant Rheumatologist

Department of Rheumatology

Royal Derby Hospital

Derby

UK

Divulgaciones

CD has received honoraria for talks at symposia sponsored by Wyeth and Abbott.

Raashid Luqmani, DM FRCP, FRCP(E)

Consultant Rheumatologist

Nuffield Orthopaedic Centre

Senior Lecturer in Rheumatology

Botnar Research Centre

University of Oxford

Oxford

UK

Divulgaciones

RL declares that he has no competing interests.

Alan Bridges, MD

Professor of Medicine

Section of Rheumatology

University of Wisconsin

Madison

WI

Divulgaciones

AB has received fees for speaking and consulting from Abbott, BMS, UCB, and Genentech.

John Kirwan, BSc, MB, BS, MD

Emeritus Professor of Rheumatic Diseases

School of Clinical Sciences

University of Bristol

Bristol

UK

Divulgaciones

JK declares that he has no competing interests.

Paul Emery, MA, MD, FMedSci

Professor of Rheumatology

Arthritis Research UK

Director

Leeds Institute of Rheumatic and Musculoskeletal Medicine

University of Leeds

Director

Leeds Musculoskeletal Biomedical Research Unit

Leeds Teaching Hospitals NHS Trust

Leeds

UK

Divulgaciones

Not disclosed.

Prabha Ranganathan, MD, MS

Associate Professor of Medicine

Division of Rheumatology

Washington University School of Medicine

St Louis

MO

Divulgaciones

PR declares that she has no competing interests.

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