Early/Undifferentiated Arthritis

In some patients with inflammatory arthritis, it is not possible to establish a specific diagnosis during the first several weeks to months following symptom onset, although such patients, with undifferentiated early inflammatory arthritis, require effective treatment for their condition to begin to alleviate the symptoms and functional impairment associated with active disease, ie, active inflammation of any one or more joints in terms of synovitis as manifested by joint swelling.

The term "undifferentiated arthritis" (UA) is used here to describe patients with early inflammatory arthritis, typically between six weeks and a year in duration, whose disease cannot yet be clearly diagnosed or clearly differentiated from other defined disorders, although a diagnosis can often be determined within three months and only infrequently requires as long as a year to become evident. Many such patients will eventually be diagnosed with rheumatoid arthritis (RA) o psoriatic arthritis after further evolution of the symptoms and findings.

What is arthritis?

The term arthritis refers to pain, swelling and stiffness of joints. Pain is due to the irritation of nerve fibres in the inflamed joints. Swelling is due to either increased fluid in the joints or due to hypertrophy of the synovial membrane which is covering the joint .Stiffness refer to the discomfort in moving joints following a period of inactivity. This is classically described as an increase in difficulty in moving joints or making a fist soon after getting up from the bed. This is relieved by activity and aggravated by rest. There are more than200 joints in the body .Arthritis can affect any of these parts resulting in pain in the corresponding area like knee pain, back pain or neck pain

Arthritis is not a disease, but a symptom…

It is very important to remember that more than 170 disorders can present with pain in the joints. So joint pain is not a disease, but a symptom. We can explain this with a commoner example. If you go to a doctor with a fever, it can be due to mild viral infection to life threatening diseases like blood cancers or malaria. To determine what disease you have doctor examines you and does a series of tests. Similarly arthritis also can be due to very simple disease like viral infection to life threatening diseases like SLE. Joint pain is one of the ways body tells you that something is wrong somewhere and it is the duty of a physician to find out what disease the patient is suffering from and start him on the correct treatment.

What is the importance of early diagnosis?

As mentioned earlier, arthritis may be a manifestation of an internal disease. Some of these diseases can affect internal organs like Lungs, kidney or heart. So it is absolutely essential that you get a proper check up and get the correct treatment.

Who needs to be seen for arthritis?

The specialty of medicine which deals with arthritis and allied disorders is called Rheumatology. So it is advisable that you contact a qualified rheumatologist for evaluation of arthritis