Butterfly Melita Yvonne Dyason


Licence No.KZN00041D    Practice No. 0805033   Reg No: A01252

From illness to wellness

Rheumatoid Arthritis

is an
Inflammatory Joint Disease

Rheumatoid Arthritis

Is a chronic syndrome characterized by nonspecific, usually symmetric inflammation of the peripheral joints, potentially resulting in progressive destruction of articular and peri-articular structures. It's associated with systemic disturbance, a variety of extra-articular features and the presence of circulating anti-globulin antibodies [rheumatoid factor.]

Atiology is unknown. The immunologic changes may be initiated by multiple factors. About 1% of all populations are affected, women 2-3 times more than men. Onset may be at any age especially 25 - 50 years.


Most commonly onset is insidious,

Progression of the disease

Progress of the disease causes :

These include flexion contractures of

Extra-articular features are:

Fever: Weight loss, Fatigue, Susceptibility to infection.
Musculoskeletal: Muscle wasting, tenosynovitis, bursitis, osteoporosis
Blood: Anaemia, throbocytosis, eosinohilia [ESR raised]
Lymphatic: Lymphadenopathy, splenomegaly, Felty's syndrome [association
of splenomegally and neutropaenia with RA]
Amyloidosis; Gluco-protein
Nodules: Sinuses, fistulae
Eye: Episcleritis, scleritis, scleromalacia, kerato-conjunctivitis sicca
Vascular: Ulcers, digital arteritis, visceral arteritis
Heart: Peri-, myo-, endocarditis, conduction defects, vasculitis, aortitis
Lung: Nodules, pleural effusions, fibrosing alveolitis, bronchiolitis
Neurological: Cervical cord compression, compression neuropathies, peripheral neuropathy


Septic arthritis can occur in patients with longstanding nodular seropositive disease.


This is one of the clinical features of inflammatory arthritis of 6 weeks duration

Criteria for Classification of Rheumatoid Arthritis

Any four criteria must be present to diagnose Rheumatoid Arthritis. The first four criteria must have been present for 6 weeks.

  1. Morning stiffness for > 1 hour
  2. Arthritis or > 3 joint areas
  3. Arthritis of hand joints [wrist, metacarpophalangeal or proximal interphalangeal joints]
  4. Symmetric arthritis
  5. Rheumatoid nodules
  6. Serum rheumatoid factor
  7. Radiographic changes.

Management [Allopathic]

Homoeopathic Management