[Rheumatoid arthritis: a general disease and local diseases].
The rheumatoid synovitis affects the joints by destroying the cartilage, the sub-chondral bone and the articular capsule. The tendons and ligaments can be degraded by proximity or by the means of the affected synovial sheaths. This conjunction of effects involves a foreseeable degradation on the complex articulations whose clinician must know the stages to interfere effectively into a preventive way by local interventions when the general treatments of the disease are insufficient and before recourse to the repairing surgery. This management can only be considered with a team where the general practitioner has a central place of alarm. Extraarticular symptoms (Sjogren's syndrome, cardiac, pulmonary or renal involvement) are specific local diseases and should be managed appropriately by the general practitioner and referred specialists.
Bouysset
Maurice
M
Service de rhumatologie, CHU Lyon Sud, Pierre-Bénite.
Noël
Eric
E
Tebib
Jacques G
JG
D000328:Adult; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery / Q000628:therapy; D019643:Arthroplasty, Replacement; D015352:Dry Eye Syndromes / Q000209:etiology; D005194:Family Practice; D005260:Female; D005531:Foot Deformities, Acquired / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation; D006225:Hand / Q000000981:diagnostic imaging; D006227:Hand Deformities, Acquired / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology; D049670:History, 17th Century; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012218:Rheumatoid Nodule / Q000175:diagnosis; D012785:Shoulder Joint