Publication date: 2018-04-25 21:51
Katherine K Temprano, MD Assistant Professor of Internal Medicine, Division of Rheumatology, St Louis University School of Medicine
Katherine K Temprano, MD is a member of the following medical societies: American College of Physicians-American Society of Internal Medicine , American College of Rheumatology
Disclosure: Partner received honoraria from Baxter for speaking and teaching.
The enlarged synovial membrane, periarticular ligaments, and supporting structures are the major pain-sensitive structures. Muscles may also become tender, but rarely is this due to myositis. Muscle tenderness is not specific for RA. Severe muscle tenderness should suggest another differential diagnosis, including fibromyalgia or a regional pain disorder (see DDx). Bony prominences are generally tender periarticular structures tend to be more vulnerable to palpation at these sites.
Labs may also offer genetic or SNP-based tests that can reportedly promote and influence general health and wellness by analyzing genes associated with response to diet, metabolism and exercise. An example of this type of test is Healthy Woman DNA Insight.
Deformity of the joint may develop over time as articular and supporting structures are damaged by the inflammatory process. By the time deformity has developed, the diagnosis of RA is in little doubt however, optimal management of RA requires that the inflammatory aspects of the arthritis be recognized before the development of deformity.
The intervention was intravenous supplements for 5 days (selenium 775 μg, zinc 85 mg, vitamin C g, and vitamin B6 655 mg) with a double-loading dose on days 6 and 7 or placebo.
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79) Exp. Biol. Med. 7557 787:897-856 Ascorbic Acid Role in Containment of the World Avian Flu Pandemic John T. A. Ely6 Radiation Studies, University of Washington, Seattle, Washington 98695 (i) ascorbic acid is not being administered to humans infected or at risk for influenza, and (ii) ascorbic acid is (mistakenly) believed to be a vitamin ( 8775 vitamin C 8776 ). Proper use of ascorbic acid as described here could provide effective containment for the flu pandemic.