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Rheumatology and ArthritisSeminar
Antoni Chan MBChB, FRCP, PhD
Consultant Rheumatologist
and Clinical Director
Royal Berkshire NHS Foundation Trust
Rheumatology and Arthritis Seminar
Arthritis vs Rheumatism
Arthritis – inflammation within the joint
Rheumatism – pain from structures around the joint
Classed as ‘rheumatic diseases’
Over 200 different rheumatic diseases
Rheumatology and Arthritis Seminar
Ankylosing spondylitisAntiphospholipid syndromeBack painBehçet's syndromeCalcium crystal diseases (pseudogout)Carpal tunnel syndromeComplex regional pain syndromeFibromyalgiaFoot painGoutJoint hypermobilityJuvenile idiopathic arthritis (JIA, arthritis in
childhood)Knee painNeck painLupus
Osteoarthritis
Osteoarthritis of the knee
Osteomalacia (soft bones)
Osteoporosis
Paget's disease of bone
Patellofemoral pain syndrome
Polymyalgia rheumatica (PMR)
Polymyositis and dermatomyositis
Psoriatic arthritis
Raynaud's phenomenon
Reactive arthritis
Rheumatoid arthritis
Scleroderma
Shoulder pain
Sjögren's syndrome
Tennis elbow
Vasculitis
A to Z of Arthritis
Rheumatology and Arthritis Seminar
The challenge£8 billion a year in cost
700,000 people suffering from rheumatoid arthritis in Britain
26,000 more cases identified every year in England alone.
Average days off sick in RA is 40 compared to 6.5 days
(Arthritis Research UK)
Rheumatology and Arthritis Seminar
WallingfordNewbury (WBCH) Townlands (Henley)
Woosehill (Wokingham) Royal Berkshire Hospital(Reading)
Rheumatology Clinics`Care Closer to Home’
Bracknell
Rheumatology and Arthritis Seminar
What we do
Diagnose and treat conditions of
Bones, joints, muscles, soft tissues
Internal organs
Whole body systems
Rapidly expanding field in
Early diagnosis of arthritis
Targeted personalised therapies
Keep patients active and in work
Rheumatology and Arthritis Seminar
‘It’s inflammed, doctor’
Calor, Rubor, Tumor, Dolor, Functio laesa
Rheumatology and Arthritis Seminar
What causes arthritis?
Rheumatology and Arthritis Seminar
Why me?
Genetics
Infections
Hormones
Viruses
Diet
Trauma
Accidents
Rheumatology and Arthritis Seminar
‘Is it in the genes ?’
Rheumatology and Arthritis Seminar
Mediterranean diet and exercise are protective
Rheumatology and Arthritis Seminar
What about smoking?’
Causes increased risk of developing RA
Rheumatology and Arthritis Seminar
Rheumatoid arthritis
Chronic inflammatory arthritis
Affects 0.8-1.0% of the population in the UK
3 times commoner in women
Can affect any age but usually starts at ages 40-60 years
Rheumatology and Arthritis Seminar
The S factor
Rheumatology and Arthritis Seminar
Renoir (1841 – 1919)
Rheumatology and Arthritis Seminar
Rheumatology and Arthritis Seminar
Anti-TNF alpha treatment (biologic therapy)
Rheumatology and Arthritis Seminar
Osteoarthritis
Commonest form of arthritis, affects 8 million people in the UK
Commoner in women, usually occurs with age > 40 years
Exercise, diet and nutrition, complementary treatments, acupuncture
Reduce loading on joints
Rheumatology and Arthritis Seminar
Ankylosing spondylitis (AS)
Spondylitis means inflammation of the spine
Individual bones of the spine may fuse resulting in stiffening of the spine (ankylosis)
3 times commoner in men
Starts at age 20-30s
Rheumatology and Arthritis Seminar
S Factor
Rheumatology and Arthritis Seminar
Connective tissue diseases
− Systemic lupus erythematosus(SLE)
− Scleroderma
– Diffuse systemic sclerosis
– Limited systemic sclerosis (CREST)
− Polymyositis/Dermatomyositis
− Sjogren’s syndrome
Rheumatology and Arthritis Seminar
Rheumatology
− More than just aches and pains
− Increased public awareness
− Multidisciplinary specialty (Nurse, physiotherapist, OT)
− Treatment allows patients to keep moving, walking and working
− Rapidly expanding field with better treatments in development
Rheumatology and Arthritis Seminar
Campaign – Running for Rheumatology
Rheumatology and Arthritis Seminar
State of the art care
Rheumatology and Arthritis Seminar
Thank you
Royal Berkshire NHS Foundation TrustAppointments: Mon pm, Tues pm, Weds pm
Clinics: RBH, Woosehill, Wallingford, Townlands (Henley)Secretary: Lindsey Smith
Tel: 0118 3225308lindsey.smith@royalberkshire.nhs.uk
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