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Rheumatoid arthritis.

Harakh V Dedhia1, Anthony DiBartolomeo

  • 1Medical Intensive Care Unit, Department of Medicine and Anesthesiology, West Virginia University Health Science Center, 3306 HSS, 100 Medical Center Drive, Morgantown, WV 26506, USA. hdedhia@hsc.wvu.edu

Critical Care Clinics
|November 9, 2002
PubMed
Summary

Rheumatoid arthritis (RA) is a severe inflammatory disease impacting joints and organs. Understanding RA

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Area of Science:

  • Rheumatology
  • Critical Care Medicine

Background:

  • Rheumatoid arthritis (RA) is a systemic, debilitating autoimmune disease.
  • Chronic inflammation in RA causes joint erosion and extra-articular manifestations.
  • RA significantly impacts patients' quality of life and incurs high economic costs.

Purpose of the Study:

  • To discuss the pathophysiology and clinical manifestations of RA.
  • To review extra-articular disorders leading to ICU admission in RA patients.
  • To outline ICU management strategies for RA patients, focusing on airway management and outcomes.

Main Methods:

  • Literature review on rheumatoid arthritis pathophysiology and clinical features.
  • Analysis of extra-articular complications necessitating intensive care.
  • Discussion of critical care management principles for RA patients.

Main Results:

  • RA involves chronic polyarticular inflammation with systemic effects.
  • Extra-articular manifestations are common and can lead to ICU admission.
  • Effective airway management and tailored critical care are crucial for RA patients in the ICU.

Conclusions:

  • RA poses unique challenges in the ICU due to its systemic nature.
  • Comprehensive understanding of RA pathophysiology and complications is vital for intensivists.
  • Optimizing airway management and critical care improves outcomes for RA patients requiring ICU admission.

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