Arthritis heberdens nodules rheumatoid
by Nathan Wei, MD, FACP, FACR
Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.
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This article will discuss the differences among the words in this topic, "Arthritis heberdens nodules rheumatoid."
Osteoarthritis may cause enlargements of the last row of joints on the fingers (the distal interphalangeal or DIP joints) called Heberden's nodes or nodules. Genetic factors appear to play a strong role in development of Heberden's nodules.
The nodules, in the beginning, are filled with mucin, a jelly-like material. They may be painful. With time, the nodules harden and become bony.
Osteoarthritis may cause enlargements of the middle joints of the finger (the proximal interphalangeal or PIP joints) called Bouchard's nodules.
Osteoarthritis may also cause enlargement of the basal thumb joint where the hand and wrist meet, which may give the hand a squared appearance.
Rheumatoid arthritis causes a different type of joint involvement. Rheumatoid arthritis is a systemic disease. One of the primary problems RA causes is inflammation of the lining of joints. The most commonly affected joints in the hand are the knuckles the MCP joints).
When rheumatoid arthritis causes nodules these develop at sites such as the elbows, fingers, Achilles tendons, and the base of the skull. Rheumatoid nodules can also occur in other locations including internal organs. While these nodules are not usually painful, they may hurt if they are in a location where they are repeatedly subjected to pressure or trauma... such as the hands.
A skilled rheumatologist should be consulted.
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