Doctor Yamen Homsi discusses Rheumatoid arthritis
, or RA, is an autoimmune disease in which the body mistakenly attacks the lining of the joints, causing painful swelling and stiffness.RA not only affects the joints, but it can also cause problems with the eyes, blood vessels, nerves, skin, heart, lungs and other organs.
For example, the autoimmune response for RA can trigger inflammation and scarring in lung tissue, leading to interstitial lung disease. These are the symptoms that may indicate RA — and a common habit that can aggravate the throbbing, aching sensation in the joints.Four myths about pregnancy screenings — and the ‘fetoscopic’ surgeries that can be done before your baby is even born The peak onset for RA happens between the ages of 40 and 60, but people outside that range can also be diagnosed. Women are approximately two to three times more likely than men to develop RA, mostly because of the hormonal changes they experience after giving birth and undergoing menopause. The cause of RA is unknown — it is likely multifactorial. A family history of RA, certain genetics, environmental factors and habits like smoking increase risk.RA commonly starts in the small joints in the hands and feet, as well as the wrists. The knuckles and middle finger joints and the joints where the toes meet the foot are the most frequently impacted. Rheumatoid arthritis is an autoimmune disease in which the body mistakenly attacks the lining of the joints, causing painful swelling and stiffness.Because RA is often symmetrical, it typically affects the same joints on both sides of the body.Morning stiffness that lasts over 45 minutes is the hallmark of inflammatory joint disease.There are many reasons to practice good oral hygiene, such as preventing tooth decay and bad breath, but here’s another one: Severe gum disease from poor oral hygiene can exacerbate RA symptoms. Ineffective brushing and flossing allow oral bacteria to enter the bloodstream, causing or worsening systemic inflammation.Take osteoarthritis, for example. It’s a degenerative joint disease that can cause morning stiffness, but it typically lasts about 10 minutes. Osteoarthritis also primarily affects people over 50, and it can attack some joints that RA doesn’t target. Dr. Yamen Homsi, section chief of the Department of Rheumatology at NYU Langone Hospital in Brooklyn, said there are several effective treatment options for RA.How is RA treated? Patients can live with joint pain for years because it’s not severe and disabling, but they don’t have to. The prognosis for RA is better than it used to be, thanks to new treatments that let people enjoy long, active lives.Conventional synthetic disease-modifying antirheumatic drugs, or DMARDs, such as methotrexate, interfere with various immune pathways to reduce inflammation. These primarily come in pill form. If there is no response to the meds within six weeks to three months, your doctor may switch you to biologic DMARDs, which block specific parts of the inflammatory process. This is done by injection or infusion. The third class is targeted synthetic DMARDs, such as JAK inhibitors, which focus on certain pathways within immune cells. These are oral meds. Patients need to see their rheumatologist every three months to get a blood test and check their response to the drugs. If left untreated, RA can progress to bone and cartilage erosion and increase the risk of cardiovascular diseases due to chronic inflammation. Getting diagnosed with RA might seem scary or overwhelming. The good news is that there are several effective treatment options.. He specializes in treating a wide range of rheumatic diseases, including rheumatoid arthritis, lupus and spondyloarthropathy, with a particular clinical interest in systemic sclerosis, systemic vasculitis and autoimmune myositis.Buy one, get one deal on this microcurrent sculpting device — arrives before ChristmasImprove your skin with The Collagen Co. that tastes like a ‘milkshake’CBS pulls '60 Minutes' segment on deportees in El Salvador's CECOT prison as correspondent blasts Bari WeissJD Vance offers damning message to racist Nick Fuentes for revolting attacks on wifeRob Reiner's daughter, Romy, 'lived in fear' of brother Nick, leaning heavily on brother Jake after grisly murders: report
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