Causes and risk factors
The exact cause of rheumatoid arthritis is unknown, but a combination of genetic predisposition (HLA-DR4 genes) and environmental triggers plays a key role. The main provoking factors: smoking (increases the risk by 2-4 times), chronic infections (periodontitis, Epstein-Barr virus), hormonal changes in women. The disease most often develops at the age of 30-50 years, with a predominance among women (3:1).
What tests are important?
Diagnosis requires an integrated approach. In addition to laboratory tests (RF, ACCP, CRP), radiography or MRI of joints is performed to identify erosions. You can upload analysis results in PDF format to Axioris - the system will automatically recognize the values and build dynamics graphs. It is especially important to monitor CRP and ACCP: their levels correlate with disease activity and the effectiveness of therapy.
When to see a rheumatologist
Consultation with a specialist is necessary for: morning stiffness >30 minutes, symmetrical swelling of small joints of the hands/feet, increased inflammatory markers (CRP >5 mg/l). Early diagnosis (in the first 3-6 months) helps prevent irreversible joint damage. In the application, you can set up reminders for doctor visits and follow-up tests.
Common mistakes
1) Ignoring early symptoms (fatigue, mild joint pain). 2) Self-medication of NSAIDs without basic therapy. 3) Stop treatment if there is improvement. 4) Underestimation of extra-articular manifestations (damage to the lungs, eyes, blood vessels). Using Axioris, you can record all symptoms and tests in one place, which helps the doctor objectively assess the dynamics.