[Early undifferentiated arthritis]

Orthopade. 2018 Mar;47(3):261-272. doi: 10.1007/s00132-018-3539-2.
[Article in German]

Abstract

Early recognition and treatment of inflammatory arthritis is imperative for the further course of the disease. Patients with inflammatory arthritis should be referred as early as possible to a rheumatologist for further management. A combination of anamnesis, clinical examination, imaging and laboratory measurements enable a differential diagnosis. If a specific diagnosis is not possible, the disease is called early undifferentiated arthritis. Early effective treatment should be instituted for those at risk of developing persistent and/or erosive arthritis. Treatment includes both pharmacological and non-pharmacological options. In the management of early arthritis a combination of regular monitoring and optimal treatment interventions are paramount to achieve remission and improve outcome of the disease (treat-to-target).

Keywords: Conventional radiography; Differential diagnostics; Magnetic resonance imaging; Treat-to-target; Ultrasonography.

Publication types

  • Review

MeSH terms

  • Arthritis / classification
  • Arthritis / diagnostic imaging*
  • Arthritis / therapy
  • Combined Modality Therapy
  • Diagnosis, Differential
  • Early Diagnosis*
  • Early Medical Intervention*
  • Humans
  • Magnetic Resonance Imaging
  • Ultrasonography