From: anonymous@mailbox.neosoft.com
Subject: arthritis
Posted-By: xx101 (Doctors Office Moderator)
Organization: Organization For Community Networks
Date: Tue, 11 Jun 1996 12:09:27 GMT
Newsgroups: ofcn.clinic.doctor.qa

What kind of arthiritis causes swollen knuckles (especially on the last joint of the thumb and middle joints of the forefingers. Is it typical for it to come on quickly? I know I have some degenerative arthritis in my neck and that it has been a family trait back at least 3 or 4 generations if not more

Reply +++++++++++++++++++++++++++

There are two main types of arthritis, rheumatoid and osteo-. The importance in telling them apart is that different medicines and treatments are effective for each. Rheumatoid arthritis would generally affect both sides of the body in multiple places. The proximal interphalageal joints (middle joints of the fingers) are often affected. Generally both types are slow to develop. I am a family doc; a rheumatologist (specialist in arthritis) could tell you more from memory. I would have to look it up.

I recommend that you see your primary care physician. There could be other explanations for your problem that would be apparent by examining you or asking more questions. If he or she thinks you might have rheumatoid arthritis, then you could get a referral to a rheumatologist for confirmation. Most internists and family docs can oversee the treatment when someone with bad arthritis is stable.

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P. H. MD Family Physician Correspondent for General Medical Clinic Organization For Community Networks

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