| Fevers * Endocarditis * Primary (Acute) HIV * Rheumatic Fever * Disseminated Gonorrhea * Adult Still’s Disease > very rare |
Other Acute Causes to Consider
* Nausea, anorexia, malaise
> maybe Acute Hepatitis * Lyme Disease endemic area: > VA to ME; WI, MN * Immunocompromised: > B19 Parvovirus |
| Most Common * Rheumatoid Arthritis * Lupus (SLE) * Hepatitis B * Hepatitis C Usually Oligoarthritis (but Possibly Small Joint Polyarthritis) * Psoriatic Arthritis * Gout (when chronic) * Sarcoidosis | Uncommon Diseases * Sjögren’s Syndrome (not-so-uncommon) * Inflammatory Osteoarthritis * Scleroderma * Mixed Connective Tissue Disease * Relapsing Polychondritis * Vasculitis (various types) * Paraneoplastic Syndrome |
SYMMETRICAL POLYARTHRALGIAS
| Specific Diseases Rheumatoid Factor (RF) — for RA Cyclic Citrulinated Peptide (CCP) — for RA Antinuclear Antibodies (ANA) — for Lupus HepB surface Antigen (HBsAg) – for HepB Hepatitis C Antibody — for HepC | General Tests
|
DiagnosisDude 