Reumatoid artrit, RA
Senast uppdaterad: Senast reviderad:
Sakkunnig:Anna Nager
Definition:
En kronisk, inflammatorisk sjukdom som framförallt drabbar leder i händer och fötter.
Förekomst:
Prevalensen uppskattas till cirka 0,7 % i Sverige.
Symtom:
Symmetriska ledinflammationer, särskilt i händer och fötter, men alla leder kan drabbas. Allmänsymtom är vanligt.
Kliniska fynd:
Vid nydebuterad RA ses ofta artriter i MCP-, PIP- och MTP-leder, men debut med mono- eller oligoartrit i andra leder förekommer.
Diagnostik:
Anti-CCP, RF, SR, CRP, blodstatus och röntgen.
Behandling:
Centralt i behandlingen är syntetiska DMARDs och biologiska DMARDs. Tidigt insatt behandling är viktigt.
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- Anna Nager, docent och specialist i allmänmedicin, Karolinska institutet