Rheumatism

Rheumatism
Other namesRheumatic disease
SpecialtyRheumatology

Rheumatism or rheumatic disorders are conditions causing chronic, often intermittent pain affecting the joints or connective tissue. Rheumatism does not designate any specific disorder, but covers at least 200 different conditions, including arthritis and "non-articular rheumatism", also known as "regional pain syndrome" or "soft tissue rheumatism".[1][2] There is a close overlap between the term soft tissue disorder and rheumatism. Sometimes the term "soft tissue rheumatic disorders" is used to describe these conditions.[3]

The term "Rheumatic Diseases" is used in MeSH to refer to connective tissue disorders.[4] The branch of medicine devoted to the diagnosis and therapy of rheumatism is called rheumatology.[5]

Types

Many rheumatic disorders of chronic, intermittent pain (including joint pain, neck pain or back pain) have historically been caused by infectious diseases. Their etiology was unknown until the 20th century and not treatable, like Lyme disease (in the Northern, Northeastern, and Appalachians of the US), coccidiomycosis or valley fever (in the Western US), and chikungunya in India, Africa, and South America. Postinfectious arthritis, also known as reactive arthritis, and rheumatic fever are other examples.

Major rheumatic disorders can be divided into 10 major categories based on the nomenclature and classification proposed by the American College of Rheumatology (ACR) in 1983,[6] and they are:

Diagnosis

Management

Initial therapy of the major rheumatological diseases is with analgesics, such as paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs). Steroids, especially glucocorticoids, and stronger analgesics are often required for more severe cases.[10]

History

The term rheumatism stems from the Late Latin rheumatismus, ultimately from Greek ῥευματίζομαι "to suffer from a flux", with rheum meaning bodily fluids, i.e. any discharge of blood or bodily fluid.

Before the 17th century, the joint pain which was thought to be caused by viscous humours seeping into the joints was always referred to as gout, a word adopted in Middle English from Old French gote "a drop; the gout, rheumatism", not to be confused with the present day specific term referring to excess of uric acid.

The English term rheumatism in the current sense has been in use since the late 17th century, as it was believed that chronic joint pain was caused by excessive flow of rheum which means bodily fluids into a joint.[11]

See also

References

  1. ↑ N. Altorok, S. Nada, V. Nagaraja, B. Kahaleh (2016). Medical Epigenetics, Chapter 17 - Epigenetics in Bone and Joint Disorders. Medical Epigenetics. Boston: Academic Press. pp. 295–314. doi:10.1016/B978-0-12-803239-8.00017-X. ISBN 978-0-12-803239-8.{{cite book}}: CS1 maint: multiple names: authors list (link)
  2. ↑ "eMedicine - Nonarticular Rheumatism/Regional Pain Syndrome : Article by Daniel Muller". 2019-01-24. {{cite journal}}: Cite journal requires |journal= (help)
  3. ↑ "Overview of soft tissue rheumatic disorders".
  4. ↑ Rheumatic+Diseases at the US National Library of Medicine Medical Subject Headings (MeSH)
  5. ↑ "rheumatism" at Dorland's Medical Dictionary
  6. ↑ Decker, J. L. (August 1983). "American Rheumatism Association nomenclature and classification of arthritis and rheumatism (1983)". Arthritis and Rheumatism. 26 (8): 1029–1032. doi:10.1002/art.1780260813. ISSN 0004-3591. PMID 6603849.
  7. ↑ Puéchal, X; Terrier, B; Mouthon, L; Costedoat-Chalumeau, N; Guillevin, L; Le Jeunne, C (March 2014). "Relapsing polychondritis". Joint, Bone, Spine : Revue du Rhumatisme. 81 (2): 118–24. doi:10.1016/j.jbspin.2014.01.001. PMID 24556284.
  8. ↑ Janeways: "immunology"
  9. ↑ Salvador G, Gomez A, Vinas O, et al. (August 2003). "Prevalence and clinical significance of anti-cyclic citrullinated peptide and antikeratin antibodies in palindromic rheumatism. An abortive form of rheumatoid arthritis?". Rheumatology (Oxford). 42 (8): 972–5. doi:10.1093/rheumatology/keg268. PMID 12730510.
  10. ↑ Buttgereit F. Views on glucocorticoid therapy in rheumatology: the age of convergence. Nat Rev Rheumatol. 2020 Apr;16(4):239-246. doi: 10.1038/s41584-020-0370-z. Epub 2020 Feb 19. PMID: 32076129.
  11. ↑ Barnhart, Robert K., ed., Barnhart Dictionary of Etymology, H.W. Wilson Co., 1988. Quote "The meaning of a disease of the joints is first recorded in 1688, because rheumatism was thought to be caused by an excessive flow of rheum into a joint thereby stretching ligaments"

Further reading

  • The Rheumatology Handbook (WSPC 2012) ISBN 978-1-84816-320-1
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