NURG- Rheumatology Basic Classification of the Rheumatic Diseases Doc.MUDr.Marie Valešová, CSc I.Interní klinika FNKV a 3.LF UK
Rheumatology Rheumatological disorders are one of the most widespred groups of diseases in the world. Musculoskeletal system - joints, bones, spine, Any organ system may be affected,
Basic Classification of the Rheumatic Diseases A. Inflammatory Rheumatic Diseases B. Degenerative Joint Disease C. Metabolic and Endocrine Diseases associated with rheumatic states D. Extraarticular disorders E. Rheumatic syndrome associated with infectious agents F. Bone and cartilage disorders G. Others
B. Degenerative Joint Disease Osteoarthritis joints spine Regional Generalized
A. Inflammatory Rheumatic Diseases Diffuse connective tissue diseases Arthritis associated with spondylitis (Spondylarthritis)
Diffuse connective tissue diseases Rheumatoid arthritis (RA) Systemic lupus erythematosus(SLE) Systemic sclerosis (SS) Polymyositis (PM)-Dermatomyositis(DM) Sjőgren´s syndrome Vasculitides
Arthritis associated with spondylitis (Spondylarthritis) Ankylosing Spondylitis (AS) Psoriatic Arthritis (PsA) Reactive Arthritis (ReA) Enteropatic arthritis –A.associated with inflammatory bowel Diseases
C. Metabolic and Endocrine Diseases associated with rheumatic states Crystal associated conditions - gout Other biochemical abnormalities Hemofilia Amyloidosis 3. Endocrine diseases Diabetes mellitus Acromegaly Hyper and hypothyreodism
D. Extraarticular disorders Localized a) juxtaarticular lesions-bursitis, tendinitis, tendon lession, enthesopathy b) intervertebral disc disorders c) Low back pain, idiopathic 2. Generalized Fibromyalgia
E. Rheumatic syndrome associated with infectious agents Direct- infectious 1.Bakterial – gonoccocal,TBC Lyme diseasee 2.Viral 3.Fungal 4.Parasitic Reactive – Acute revmatic fever, postdysenteric
F. Bone and cartilage disorders Osteoporosis Osteomalatia Hypertrophic artropathy
F.Others Neoplasm and paraneoplastic syndroma Avascular necrosis Neurovascular disorders 1.Compression syndromes 2.Charcot Joint Sarcoidosis