MRCEM Notes

Rheumatoid arthritis: presentation

Typical features
  • swollen, painful joints in hands and feet
  • stiffness worse in the morning
  • gradually gets worse with larger joints becoming involved
  • presentation usually insidiously develops over a few months
  • positive 'squeeze test' - discomfort on squeezing across the metacarpal or metatarsal joints

Other presentations:
  • acute onset with marked systemic disturbance
  • relapsing/remitting monoarthritis of different large joints (palindromic rheumatism)
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