Rheumatology and Arthritis Seminar Art… · Polymyalgia rheumatica (PMR) Polymyositis and...

Rheumatology and ArthritisSeminar

Antoni Chan MBChB, FRCP, PhD

Consultant Rheumatologist

and Clinical Director

Royal Berkshire NHS Foundation Trust

Rheumatology and Arthritis Seminar

Arthritis vs Rheumatism

Arthritis – inflammation within the joint

Rheumatism – pain from structures around the joint

Classed as ‘rheumatic diseases’

Over 200 different rheumatic diseases


Ankylosing spondylitisAntiphospholipid syndromeBack painBehçet's syndromeCalcium crystal diseases (pseudogout)Carpal tunnel syndromeComplex regional pain syndromeFibromyalgiaFoot painGoutJoint hypermobilityJuvenile idiopathic arthritis (JIA, arthritis in

childhood)Knee painNeck painLupus

Osteoarthritis

Osteoarthritis of the knee

Osteomalacia (soft bones)

Osteoporosis

Paget's disease of bone

Patellofemoral pain syndrome

Polymyalgia rheumatica (PMR)

Polymyositis and dermatomyositis

Psoriatic arthritis

Raynaud's phenomenon

Reactive arthritis

Rheumatoid arthritis

Scleroderma

Shoulder pain

Sjögren's syndrome

Tennis elbow

Vasculitis

A to Z of Arthritis


The challenge£8 billion a year in cost

700,000 people suffering from rheumatoid arthritis in Britain

26,000 more cases identified every year in England alone.

Average days off sick in RA is 40 compared to 6.5 days

(Arthritis Research UK)


WallingfordNewbury (WBCH) Townlands (Henley)

Woosehill (Wokingham) Royal Berkshire Hospital(Reading)

Rheumatology Clinics`Care Closer to Home’

Bracknell


What we do

Diagnose and treat conditions of

Bones, joints, muscles, soft tissues

Internal organs

Whole body systems

Rapidly expanding field in

Early diagnosis of arthritis

Targeted personalised therapies

Keep patients active and in work


‘It’s inflammed, doctor’

Calor, Rubor, Tumor, Dolor, Functio laesa


What causes arthritis?


Why me?

Genetics

Infections

Hormones

Viruses

Diet

Trauma

Accidents


‘Is it in the genes ?’


Mediterranean diet and exercise are protective


What about smoking?’

Causes increased risk of developing RA


Rheumatoid arthritis

Chronic inflammatory arthritis

Affects 0.8-1.0% of the population in the UK

3 times commoner in women

Can affect any age but usually starts at ages 40-60 years


The S factor


Renoir (1841 – 1919)


Anti-TNF alpha treatment (biologic therapy)


Osteoarthritis

Commonest form of arthritis, affects 8 million people in the UK

Commoner in women, usually occurs with age > 40 years

Exercise, diet and nutrition, complementary treatments, acupuncture

Reduce loading on joints


Ankylosing spondylitis (AS)

Spondylitis means inflammation of the spine

Individual bones of the spine may fuse resulting in stiffening of the spine (ankylosis)

3 times commoner in men

Starts at age 20-30s


S Factor


Connective tissue diseases

− Systemic lupus erythematosus(SLE)

− Scleroderma

– Diffuse systemic sclerosis

– Limited systemic sclerosis (CREST)

− Polymyositis/Dermatomyositis

− Sjogren’s syndrome


Rheumatology

− More than just aches and pains

− Increased public awareness

− Multidisciplinary specialty (Nurse, physiotherapist, OT)

− Treatment allows patients to keep moving, walking and working

− Rapidly expanding field with better treatments in development


Campaign – Running for Rheumatology


State of the art care


Thank you

Royal Berkshire NHS Foundation TrustAppointments: Mon pm, Tues pm, Weds pm

Clinics: RBH, Woosehill, Wallingford, Townlands (Henley)Secretary: Lindsey Smith

Tel: 0118 [email protected]

Rheumatology and Arthritis Seminar Art… · Polymyalgia rheumatica (PMR) Polymyositis and...

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