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Cardiovascular Disease Risk Tests - Medical Clinical

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.

Dr. Vijay Iyer | Great Lakes Cardiovascular

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.

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Juan A. Crestanello, . - Doctors and Medical Staff

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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