Rheumatoid arthritis mosler Explaining to patients - Commonly starts at the age of 40-60 - More common in women - Stiff and painful joints that may be red warm and swollen - Generally unwell and have a fever - Affect any joints in the body often starts in the small joints in the hands and feet - Between the bones there is cartilage and fluid acting as cushion - Autoimmune which means immune system normally allows the body to fight off infections and illness becomes overactive and attack health joints - The body now produce extra fluid now causes swelling this is known as inflammation streech the capsule and push the joins out of shape - The fluid also has chemicals which can cause permanent damage to the joins and surrounding bones. - Drugs are available and it is important to get on it as soon as you can to keep it under control - Having an active and healthy lifestyle can also reduce pain and stiffness. The main symptoms of rheumatoid arthritis are: joint pain joint swelling, warmth and redness stiffness, especially first thing in the morning or after sitting still for a long time. Other symptoms can include: tiredness and lack of energy – this can be known as fatigue a poor appetite (not feeling hungry) weight loss a high temperature, or a fever sweating dry eyes – as a result of inflammation chest pain – as a result of inflammation. DMARDs cause a patient to become immunosuppressed. Immunosuppression long term carries some risk especially risk of infection. · Patients need to know how to mitigate risk of infections (e.g. when travelling or planning holidays).