Rheumatoid Arthritis

Rheumatoid arthritis is an inflammatory disease that causes pain, swelling, stiffness, and loss of function in the joints.

The CDC has reported that arthritis affects an estimated 3.1 million Hispanics in the United States. Published in the Feb. 18 issue of Morbidity and Mortality Weekly Report, the study presents key findings among seven Hispanic and Latino subgroups including Puerto Ricans, Mexicans, Dominicans, and Cubans.

Highlights included:

Puerto Ricans reported the highest age-adjusted prevalence of arthritis (21.8 percent) and Cubans/Cuban Americans the lowest (11.7 percent).
Among all subgroups of Hispanics with arthritis, at least 20 percent of people with arthritis reported one or more of the three arthritis-attributable effects and limitations including activity limitations, work limitations, and severe joint pain.
For most subgroups, arthritis prevalence was highest among people 65 years and older, women, and people who were obese.
Overall, an estimated 875,000 Hispanics ages 18-64 reported arthritis-attributable effects.2
Overall, an estimated 1.2 million Hispanics reported severe joint pain.

Back to Top
Scientists believe that rheumatoid arthritis may result from the interaction of many factors such as genetics, hormones, and the environment. Although rheumatoid arthritis sometimes runs in families, the actual cause of rheumatoid arthritis is still unknown.

Research suggests that a person’s genetic makeup is an important part of the picture, but not the whole story. Some evidence shows that infectious agents, such as viruses and bacteria, may trigger rheumatoid arthritis in people with an inherited tendency to develop the disease. However, a specific agent or agents are not yet known.

Back to Top
Different types of arthritis have different symptoms. In general, people with most forms of arthritis have pain and stiffness in their joints. Rheumatoid arthritis is characterized by inflammation of the joint lining. This inflammation causes warmth, redness, swelling, and pain around the joints. A person also feels sick, tired, and sometimes feverish.

Rheumatoid arthritis generally occurs in a symmetrical pattern. If one knee or hand is affected, the other one is also likely to be affected.

Back to Top
Exams and Tests
Rheumatoid arthritis can be difficult to diagnose in its early stages for several reasons. First, there is no single test for the disease. In addition, symptoms differ from person to person and can be more severe in some people than in others.

One common test for rheumatoid arthritis is the rheumatoid factor test. However, not all people with rheumatoid arthritis test positive for rheumatoid factor, especially early in the disease. Also, some people who do test positive never develop the disease. Another test is called the citrulline antibody test.

Other common tests for rheumatoid arthritis include the erythrocyte sedimentation rate, which indicates the presence of inflammation in the body; a test for white blood cell count; and a blood test for anemia.

Back to Top
Treatments for rheumatoid arthritis can help relieve your pain, reduce swelling, slow down or help prevent joint damage, increase your ability to function, and improve your sense of well-being.

Exercise, medication, and, in some cases, surgery are common treatments for rheumatoid arthritis. People with rheumatoid arthritis need a good balance between rest and exercise; they should rest more when the disease is active and exercise more when it is not.

Reducing stress also is important. Doing relaxation exercises and taking part in support groups are two ways to help reduce stress.

Back to Top
Possible Complications
Rheumatoid arthritis increases your risk of developing:

•    Osteoporosis
•    Carpal tunnel syndrome
•    Heart problems
•    Lung disease

Back to Top
When to Contact a Medical Professional
Contact a medical professional if you experience the following:

•    Tender, warm, swollen joints
•    Morning stiffness that may last for hours
•    Firm bumps of tissue under the skin on your arms (rheumatoid nodules)
•    Fatigue, fever and weight loss
There is no known way to prevent rheumatoid arthritis, although progression of the disease usually can be stopped or slowed by early, aggressive treatment.
Back to Top