作者: Samantha Berman , Joshua Bucher , Alex Koyfman , Brit J. Long
DOI: 10.1016/J.JEMERMED.2018.07.030
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摘要: Abstract Background Rheumatoid arthritis (RA) is an autoimmune disease resulting in polyarthritis and systemic effects that may result morbidity mortality. Objective This review provides the emergency physician with updated analysis of acute complications seen RA, as well evidence-based approach to management these complications. Discussion While joint characteristics RA are commonly recognized, extra-articular manifestations be overlooked. Of most concern clinician involvement airway, cardiovascular, pulmonary systems; however, can affect all organ systems. In addition, arise from specific therapies used treat RA. Certain patient populations have atypical presentations or exaggerated response medications. An understanding systems direct physicians a broader differential identify processes otherwise gone unnoticed. It not necessarily role diagnose its earliest phases initiate long-term immunosuppressive therapy department; detection some disease's lead earlier referral specialists begin potentially avoid life-threatening If those problems encountered department, this aims provide insight into conditions. Conclusions Prompt recognition crucial investigates issues succinct manner for clinicians.