eMedicine Specialties > Rheumatology > Miscellaneous Inflammatory Arthritis

Arthritis as a Manifestation of Systemic Disease: Follow-up

Author: R Hal Scofield, MD, Professor, Department of Medicine, Section of Endocrinology, University of Oklahoma Health Sciences Center; Associate Member, Arthritis and Immunology Program, Oklahoma Medical Research Foundation
Coauthor(s): Linda A Zacharias, MD, Fellow, Department of Medicine, Section of Rheumatology, Oklahoma University Health Sciences Center
Contributor Information and Disclosures

Updated: Aug 29, 2006

Follow-up

Prognosis

  • In general, therapy to manage the underlying illness results in improvement or complete resolution of the joint manifestations. However, this usually is not true in patients with acromegaly. Most patients have had the disease for many years prior to diagnosis and are left with cartilage hypertrophy and severe degenerative joint disease. The arthritis of hemochromatosis does not improve with phlebotomy. Acute sarcoid arthritis does not cause joint damage.

Patient Education

Miscellaneous

Medicolegal Pitfalls

  • Failure to diagnose the underlying condition is the major medicolegal problem with arthritis or joint disease as a manifestation of nonrheumatic diseases. Such a failure could occur with any of the conditions discussed.
 


More on Arthritis as a Manifestation of Systemic Disease

Overview: Arthritis as a Manifestation of Systemic Disease
Differential Diagnoses & Workup: Arthritis as a Manifestation of Systemic Disease
Treatment & Medication: Arthritis as a Manifestation of Systemic Disease
Follow-up: Arthritis as a Manifestation of Systemic Disease
Multimedia: Arthritis as a Manifestation of Systemic Disease
References
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References

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Further Reading

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Keywords

arthralgia, joint disease, joint pain, joint ache, musculoskeletal manifestations, acute monoarthritis, pseudogout, chronic polyarthritis, polyarticular arthritis, acute sarcoid arthritis, hypothyroidism, hyperparathyroidism, Cushing disease, acromegaly, hypercholesterolemia, hyperlipidemia, hemochromatosis, sarcoidosis, calcium pyrophosphate deposition disease, CPPD, carpal tunnel syndrome, tendon xanthomas, Lofgren syndrome, diabetes mellitus, type 1 diabetes, type 2 diabetes, Dupuytren contracture, Dupuytren's, flexor tenosynovitis, adhesive capsulitis, Charcot joint

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Contributor Information and Disclosures

Author

R Hal Scofield, MD, Professor, Department of Medicine, Section of Endocrinology, University of Oklahoma Health Sciences Center; Associate Member, Arthritis and Immunology Program, Oklahoma Medical Research Foundation
R Hal Scofield, MD is a member of the following medical societies: American Association of Immunologists, American College of Physicians, American College of Physicians-American Society of Internal Medicine, American College of Rheumatology, American Diabetes Association, American Federation for Medical Research, Endocrine Society, and Oklahoma State Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Linda A Zacharias, MD, Fellow, Department of Medicine, Section of Rheumatology, Oklahoma University Health Sciences Center
Linda A Zacharias, MD is a member of the following medical societies: American College of Physicians and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Kristine M Lohr, MD, MS, Program Director, Professor, Department of Internal Medicine, Division of Rheumatology and Women's Health, University of Kentucky School of Medicine
Kristine M Lohr, MD, MS is a member of the following medical societies: American College of Physicians, American College of Rheumatology, and American Medical Women's Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Lawrence H Brent, MD, Associate Professor of Medicine, Thomas Jefferson University; Chair, Program Director, Department of Medicine, Division of Rheumatology, Albert Einstein Medical Center
Lawrence H Brent, MD is a member of the following medical societies: American Association of Immunologists, American College of Physicians, and American College of Rheumatology
Disclosure: Genentech Honoraria Speaking and teaching; Genentch Honoraria Consulting; Genentech Grant/research funds Other; Abbott Immunology Honoraria Speaking and teaching; Amgen Honoraria Speaking and teaching; Wyeth Honoraria Speaking and teaching

CME Editor

Alex J Mechaber, MD, FACP, Assistant Dean for Medical Curriculum, Associate Professor of Medicine, Division of General Internal Medicine, University of Miami Miller School of Medicine
Alex J Mechaber, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, and Society of General Internal Medicine
Disclosure: Nothing to disclose.

Chief Editor

Arthur Weinstein, MD, Professor of Medicine, Georgetown University Medical Center; Associate Chairman, Department of Medicine, Director, Section of Rheumatology, Washington Hospital Center
Disclosure: Nothing to disclose.

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