World Library  
Flag as Inappropriate
Email this Article

Monoarthritis

Article Id: WHEBN0001285478
Reproduction Date:

Title: Monoarthritis  
Author: World Heritage Encyclopedia
Language: English
Subject: Septic arthritis, ICD-10 Chapter XIII: Diseases of the musculoskeletal system and connective tissue, Rheumatoid nodule, Joint stiffness, Hemarthrosis
Collection:
Publisher: World Heritage Encyclopedia
Publication
Date:
 

Monoarthritis

Monoarthritis
Classification and external resources
ICD-10 M13.1
ICD-9-CM 716.60

Monoarthritis is inflammation (arthritis) of one joint at a time. It is usually caused by trauma, infection, or crystalline arthritis.

Contents

  • Diagnosis 1
  • Causes 2
    • Septic arthritis 2.1
    • Gout 2.2
    • Pseudogout 2.3
    • Osteoarthritis 2.4
    • Monoarthritic form of chronic juvenile arthritis (CJA) 2.5
    • Seronegative spondyloarthropathy 2.6
    • Traumatic arthritis 2.7
    • Psoriatic arthritis 2.8
    • Haemarthrosis 2.9
    • Hemophila 2.10
    • Monoarticular presentation of polyarticular disease 2.11
  • See also 3

Diagnosis

When faced with monoarthritis, one of the main decisions to make is whether to perform a joint aspirate by inserting a needle into the affected joint and removing some fluid for microscopic analysis. This decision is largely taken on inflammatory markers in blood tests (e.g. CRP), fever and the clinical picture. The main use of aspiration is to detect bacteria and neutrophil granulocytes (in septic arthritis) and crystals (crystal arthropathies).

Causes

Septic arthritis

Septic arthritis is due to a bacterial infection to the joint. It requires urgent joint washout in the operating room followed by intravenous antibiotic therapy for large joints. Small joints or children can be treated with repeated aspirations and intravenous antibiotics.

Gout

In gout, the acute inflammatory arthritis is caused by excess uric acid caused by either overproduction or under-excretion. Before the age of menopause, women have a lower incidence than males, but the rates are equal above this age. Gout can cause mono- or polyarthritis, but usually results in monoarthritis first.

Pseudogout

When monoarthritis is caused by pseudogout (calcium pyrophosphate deposition disease, CPPD), the inflammation usually lasts days to weeks, and involves the knees in half of all attacks. Like gout, attacks can occur spontaneously or with physical trauma or metabolic stress. Patients may feel well in between pseudogout attacks, and 5% present with pseudo-rheumatoid symptoms.

Osteoarthritis

Osteoarthritis is a degenerative disease commonly involving the knees and hips. It results from erosion of the cartilage protecting the bones from rubbing together. Osteoarthritis is, in fact, a polyarthritis, but it starts initially in one joint before the involvement of other joints, hence, mimicking monoarthritis.

Monoarthritic form of chronic juvenile arthritis (CJA)

Seronegative spondyloarthropathy

Traumatic arthritis

Psoriatic arthritis

Occurs in 5-10% of patients who have psoriasis.Classic presentation involves the DIP(distal inerphalangeal joints).Morning stiffness is present.Deformity of involved joints,dactylitis and nail involvement are common.Well demarcated red plaques with silvery scaling - the classic lesions of psoriasis are seen on the dorsum of the hand.

Haemarthrosis

Hemophila

Monoarticular presentation of polyarticular disease

See also


This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and USA.gov, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for USA.gov and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
 
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
 
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.
 


Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.