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There are many types of arthritis (over 100 and growing). The types range from those related to wear
and tear of cartilage (such as osteoarthritis) to those associated with inflammation resulting from an
overactive immune system (such as rheumatoid arthritis). Together, the many types of arthritis make up
the most common chronic illness in the United States.
The causes of arthritis depend on the form of arthritis. Causes include injury (leading to osteoarthritis),
metabolic abnormalities (such as gout and pseudogout), hereditary factors, infections, and unclear
reasons (such as rheumatoid arthritis and systemic lupus erythematosus).
Arthritis is classified as one of the rheumatic diseases. These are conditions that are different individual
illnesses, with differing features, treatments, complications, and prognoses. They are similar in that they
have a tendency to affect the joints, muscles, ligaments, cartilage, and tendons, and many have the
potential to affect other internal body areas.
Many of the forms of arthritis, because they are rheumatic diseases, can cause symptoms affecting
various organs of the body that do not directly involve the joints. Therefore, symptoms in some patients
with certain forms of arthritis can also include fever, gland swelling (lymph node), weight loss, fatigue,
feeling unwell, and even symptoms from abnormalities of organs such as the lungs, heart, or kidneys.
More than 27 million Americans have osteoarthritis. Approximately 1.3 million Americans suffer from
rheumatoid arthritis.
More than half of those with arthritis are under 65 years of age. Nearly 60% of Americans with arthritis
are women.
Many forms of arthritis are more of an annoyance than serious. However, millions of patients suffer daily
with pain and disability from arthritis or its complications.
Earlier and accurate diagnosis can help to prevent irreversible damage and disability. Properly guided
programs of exercise and rest, medications, physical therapy, and surgery options can idealize long-
term outcomes for arthritis patients.
It should be noted that both before and especially after the diagnosis of arthritis, communication with the
treating doctor is essential for optimal health. This is important from the standpoint of the doctor, so that
he/she can be aware of the vagaries of the patient's symptoms as well as their tolerance of and
acceptance of treatments. It is important from the standpoint of patients, so that they can be assured
that they have an understanding of the diagnosis and how the condition does and might affect them. It is
also crucial for the safe use of medications.
This does not include the nearly $2 billion spent each year in the United States on unproven remedies
by patients addressing their symptoms on their own.
What is a rheumatologist?
A rheumatologist is a medical doctor who specializes in the nonsurgical treatment of rheumatic
illnesses, especially arthritis.
Rheumatologists have special interests in unexplained rash, fever, arthritis, anemia, weakness, weight
loss, fatigue, joint or muscle pain, autoimmune disease, and anorexia. They often serve as consultants,
acting like medical detectives at the request of other doctors.
Rheumatologists have particular skills in the evaluation of the over 100 forms of arthritis and have
special interests in rheumatoid arthritis, spondylitis, psoriatic arthritis, systemic lupus erythematosus,
antiphospholipid syndrome, Still's disease, dermatomyositis, Sjogren's syndrome, vasculitis,
scleroderma, mixed connective tissue disease, sarcoidosis, Lyme disease, osteomyelitis, osteoarthritis,
back pain, gout, pseudogout, relapsing polychondritis, Henoch-Schonlein purpura, serum sickness,
reactive arthritis, Kawasaki disease, fibromyalgia, erythromelalgia, Raynaud's disease, growing pains,
iritis, osteoporosis, reflex sympathetic dystrophy, and others.
Classical adult rheumatology training includes four years of medical school, one year of internship in
internal medicine, two years of internal-medicine residency, and two years of rheumatology fellowship.
There is a subspecialty board for rheumatology certification, offered by the American Board of Internal
Medicine, which can provide board certification to approved rheumatologists.
Pediatric rheumatologists are physicians who specialize in providing comprehensive care to children (as
well as their families) with rheumatic diseases, especially arthritis.
Pediatric rheumatologists are pediatricians who have completed an additional two to three years of
specialized training in pediatric rheumatology and are usually board-certified in pediatric rheumatology
Local branch chapters of the Arthritis Foundation serve to disseminate information about arthritis and
rheumatic diseases as well as function as referral centers. Moreover, many of the various forms of
arthritis have their own foundations that serve as information and referral resources for local
communities.
Summary
It is the ultimate goal of scientific arthritis research that optimal treatment programs are designed for
each of the many form of arthritis. This field will continue to evolve as improvements develop in the
diagnosis and treatment of arthritis and related conditions.