Inflammatory arthritis

• Rheumatoid arthritis is an autoimmune condition mainly affecting the joints of the body.

• Typical features are morning stiffness, joint pain relieved by movements and aggravated by rest.

• Basic investigations for patients with suspected rheumatoid arthritis/inflammatory arthritis
• FBE
• UEC
• LFT
• ESE
• CRP
• Anti CCP
• RA
• ANA
• ENA 

• DMARDs have made significant improvement in patients with RA. We don't see patients with RA with severe deformities anymore. The best outcome is when patients are started on DMARDs early, so refer early. 

• Methotrexate is the first line DMARD for RA at the moment. Cheap, relatively easy and safe to take. Common side effects: nausea and mouth ulcers. Monitor LFT and FBE monthly.