Deforming arthrosis
From deforming osteoarthritis should be distinguished defeat terminal phalanges and interphalangeal joints in hypertrophic osteoarthropathy, which sometimes long precedes clinical manifestation of lung cancer and pulmonary tuberculosis. When psoriatic arthropathy more characteristic lesions of multiple joints of one finger (almost certainly involved the distal interphalangeal joints of the hands and the proximal interphalangeal joint of the finger V) nail dystrophy, tendon damage. X-ray and diagnostic procedures through manual massage Kiev observed distal interphalangeal arthritis with the presence of erosions (sometimes multiple), the involvement of the intervertebral joints.
Deforming arthrosis with explicit Heberden's nodes. For rheumatoid arthritis typically gradual undulating growing involvement in the joints often brushes (typically defeat II and III of the metacarpophalangeal joints); early arthritis is fairly symmetrical, but without holding a massage at home Kiev possible and rheumatoid mono (oligo) arthritis.
However, in low titers (up to 1:64), it can be detected in the blood of healthy elderly people, as well as in acute and chronic hepatitis, systemic lupus erythematosus, infectious mononucleosis, subacute bacterial endocarditis, tuberculosis, Waldenstrom syndrome, chronic lymphocytic leukemia, and others. Radiographic symptoms of rheumatoid arthritis, osteoporosis, reduction of joint cracks and formation of erosions in the lateral part of the metacarpals and phalanges in the main area of the metacarpophalangeal and proximal pyastno1 mezhfalaigovyh joints. Often formed ankylosis, especially between the bones of the wrist.
In the outpatient setting are diagnosed based on characteristic symptoms, in necessary cases diagnosed using a technique common massage Kiev and synovial biopsy (may be performed outpatient physician).