Rheumatoid polyneuropathy with rheumatoid arthritis Save

Rheumatoid Polyneuropathy with Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic autoimmune disorder that affects the joints and other organs of the body. It is characterized by inflammation, pain, and swelling of the joints, leading to progressive joint damage and disability. One of the most common complications of RA is the development of rheumatoid polyneuropathy, which affects the peripheral nervous system.

Rheumatoid polyneuropathy is a rare complication of RA, affecting only 5% of patients. It is characterized by damage to the peripheral nerves, leading to numbness, tingling, and weakness in the hands and feet. It can also cause muscle wasting and difficulty with coordination and balance.

The exact cause of rheumatoid polyneuropathy is not known, but it is believed to be related to the autoimmune process that causes RA. The immune system attacks the peripheral nerves, leading to inflammation and damage. Other factors that may contribute to the development of rheumatoid polyneuropathy include genetics, environmental factors, and certain medications.

The diagnosis of rheumatoid polyneuropathy is usually made based on a combination of clinical symptoms, physical examination, and nerve conduction studies. Treatment of rheumatoid polyneuropathy is aimed at managing the symptoms and preventing further nerve damage. This may include medications to control inflammation and pain, physical therapy, and occupational therapy.

1. Medications - Nonsteroidal anti-inflammatory drugs (NSAIDs) and disease-modifying antirheumatic drugs (DMARDs) are commonly used to control inflammation and pain in patients with rheumatoid arthritis and rheumatoid polyneuropathy.
2. Physical Therapy - Physical therapy can help improve muscle strength and coordination, and reduce pain and stiffness in the joints.
3. Occupational Therapy - Occupational therapy can help patients learn new ways to perform daily activities, and reduce the risk of further joint damage.

Patients with rheumatoid polyneuropathy and rheumatoid arthritis should work closely with their healthcare provider to develop a comprehensive treatment plan that addresses their individual needs and goals. With proper management, most patients with rheumatoid polyneuropathy can achieve good symptom control and maintain their overall quality of life.

In conclusion, rheumatoid polyneuropathy is a rare complication of rheumatoid arthritis that affects the peripheral nervous system. It is characterized by numbness, tingling, weakness, and muscle wasting in the hands and feet. Treatment is aimed at managing the symptoms and preventing further nerve damage, and may include medications, physical therapy, and occupational therapy.