Rheumatoid Arthritis

102 Pages·2011·0.5 MB·English

by  Michael H. Weisman

O A R L
OXFORD AMERICAN RHEUMATOLOGY LIBRARY
Rheumatoid Arthritis
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This material is not intended to be, and should not be considered, a substi-
tute for medical or other professional advice. Treatment for the conditions
described in this material is highly dependent on the individual circumstances. While
this material is designed to offer accurate information with respect to the subject
matter covered and to be current as of the time it was written, research and
knowledge about medical and health issues are constantly evolving, and dose
schedules for medications are being revised continually, with new side effects rec-
ognized and accounted for regularly. Readers must therefore always check the
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The Publisher is responsible for author selection and the Publisher and the
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clinicians.
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O A R L
OXFORD AMERICAN RHEUMATOLOGY LIBRARY
Rheumatoid Arthritis
Michael H. Weisman, MD
Director, Division of Rheumatology
Professor of Medicine
Cedar-Sinai Medical Center
Professor Emeritus of Medicine
University of California (UCSD) School of Medicine
San Diego, CA
Executive Series Editor
Daniel J. Wallace, MD, FACP, FACR
Clinical Professor of Medicine
Division of Rheumatology
Cedars-Sinai Medical Center
David Geffen School of Medicine
1
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1
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Copyright © 2011 by Oxford University Press, Inc.
Published by Oxford University Press, Inc.
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All rights reserved. No part of this publication may be reproduced,
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Library of Congress Cataloging-in-Publication Data
Weisman, Michael H.
Rheumatoid arthritis / Michael H. Weisman.
p. ; cm. — (Oxford American rheumatology library)
Includes bibliographical references and index.
ISBN 978-0-19-975421-2 (standard ed. : alk. paper)
1. Rheumatoid arthritis—Diagnosis. 2. Rheumatoid arthritis—Treatment.
I. Title. II. Series: Oxford American rheumatology library.
[DNLM: 1. Arthritis, Rheumatoid—diagnosis. 2. Arthritis, Rheumatoid—drug therapy.
3. Diagnosis, Differential. 4. Outcome Assessment (Health Care) WE 346 W428r 2011]
RC933.W435 2011
616.7í227—dc22 2010013597
9 8 7 6 5 4 3 2 1
Printed in the United States of America
on acid-free paper
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Disclosures
Dr. Weisman has nothing to disclose.
vv
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Contents
Acknowledgment ix
1 History of Rheumatoid Arthritis 1
2 Defi nition and Classifi cation 5
3 Epidemiology 11
4 Pathogenesis 15
5 Clinical Signs and Symptoms 23
6 Comorbidities and Rheumatoid Arthritis 33
7 Pregnancy 43
8 Outcome Measurement 49
9 Laboratory and Imaging Assessments 55
10 Differential Diagnosis 61
11 Medications to Manage
Rheumatoid Arthritis 65
12 Economic Impact and Disability Issues 75
13 Prognosis 77
Glossary 81
Appendix
Rheumatoid Arthritis Resource Materials 85
HAQ-DI Disability Index 87
Index 89
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Acknowledgment
I want to thank Oxford University Press for allowing me to write this very
important book for physicians and would like to acknowledge Alisa Wilson
for her help in preparing the manuscript.
Michael Weisman, M.D.
Los Angeles, CA
x
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