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Li Jing
Rheumatology
About me
Graduated from Sanquan College of Xinxiang Medical College in 2010, and has been working at Kaifeng Central Hospital since graduation.
Proficient in diseases
Proficient in the diagnosis and treatment of acute and chronic kidney disease, acute and chronic pyelonephritis, nephrotic syndrome, lupus, gout, and rheumatoid arthritis.
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Does rheumatoid arthritis cause fever?
Rheumatoid arthritis is categorized as an autoimmune disease, primarily characterized by swelling and pain in multiple joints, particularly in the wrists or ankles. It also causes morning stiffness, and may be accompanied by fatigue, low fever, muscle soreness, and even weight loss. The onset of the disease is generally gradual for most people, and symptoms can vary significantly from one individual to another. A minority of patients may experience a rapid onset of symptoms, developing joint problems within days or weeks. Therefore, during the acute phase of rheumatoid arthritis, patients may experience a mild or moderate fever. However, it is important to differentiate whether this fever is due to an infection or the activity of the disease itself. This can be determined through regular blood tests, erythrocyte sedimentation rate (ESR), C-reactive protein, and related symptoms.
Can allergic purpura be inherited?
Allergic purpura is mostly caused by exposure to infections, medications, or foods, leading to skin and mucous membrane ecchymoses, which are essentially petechiae and a manifestation of vasculitis. It falls under autoimmune diseases, not genetic diseases, and thus is not contagious. Bacterial, viral, mycoplasmal, or parasitic infections are the most common causes. Secondarily, medications and foods can also trigger allergic purpura, such as high-protein foods like seafood and milk. Therefore, if there are symptoms like ecchymoses on the lower extremities accompanied by joint pain, or signs of blood in the stool or black stool, it is necessary to complete routine blood tests, erythrocyte sedimentation rate, and autoimmune antibody tests to rule out other autoimmune diseases. During the acute phase, it is advisable to rest in bed, eat a light diet, avoid infection, and use corticosteroids for anti-allergy treatment if necessary.
Symptoms of systemic lupus erythematosus recurrence
Systemic lupus erythematosus is an autoimmune disease primarily characterized by multi-system damage and damage to multiple organs, and it is a chronic disease, meaning it cannot be cured but only controlled through medication to manage the symptoms, prevent relapses, and delay complications. Exposure to cold, fatigue, or prolonged ultraviolet radiation can trigger a relapse of the disease. The clinical manifestations of a relapse may include an increase in skin rashes compared to before, or the emergence of low-grade fever and fatigue, or joint pain, which should be taken as warning signs. Moreover, some individuals may experience severe swelling of both lower limbs, a clinical indication. Key diagnostic indicators in clinical examinations include the titers of autoimmune antibodies, erythrocyte sedimentation rate, C-reactive protein, and the levels of complement C3 and C4, which are used to comprehensively determine whether the disease has relapsed.
Is systemic lupus erythematosus serious?
Firstly, whether systemic lupus erythematosus (SLE) is severe cannot be generalized. It is an autoimmune disease that cannot be completely cured and can cause damage to multiple systems and organs, leading to serious complications. Therefore, it is crucial to conduct a clinical analysis and assess the severity of the condition as mild, moderate, or severe after diagnosis. Furthermore, if severe anemia or a decrease in platelets occurs, the condition is relatively severe, and the presence of oliguria or anuria or central nervous system damage, this is known as lupus crisis. These conditions can be life-threatening, even leading to death. In such cases, the condition is relatively critical, and it is essential to actively treat and control the condition. Once the condition stabilizes, the medication dosage should be gradually reduced to maintain stability.
Rheumatoid arthritis symptoms
Rheumatoid arthritis is categorized as an autoimmune disease and is a chronic autoimmune condition that is destructive to joints. It is primarily characterized by symmetric polyarthritis, with clinical manifestations varying significantly among individuals. Most cases begin gradually, initially presenting with symmetrical pain and swelling in the wrists. This often accompanies morning stiffness, fatigue, low-grade fever, muscle pain, or weight loss. In a minority of cases, the onset is more abrupt, with typical clinical manifestations appearing within a few days, including joint dysfunction, morning stiffness, and joint pain and swelling. Joint deformity is a later manifestation of the disease, indicating that the disease was not well-controlled, leading to joint damage.
Can allergic purpura cause itching?
Allergic purpura is mainly seen in adolescents and children, with a higher incidence in spring and autumn. The most common cause is infection, followed by medications or food, which can also trigger an episode of allergic purpura. The most common symptoms include purpura on the skin and mucous membranes, abdominal pain, blood in stools, hematuria, or joint pain. The purpura primarily affects the limbs, rarely appears on the trunk, and is symmetrically distributed. At this time, the bleeding spots often have no symptoms, meaning there is no itching of the skin. However, when there is concomitant skin edema or hives, itching can occur.
Can rheumatoid arthritis be cured?
Rheumatoid arthritis is a chronic autoimmune disease characterized by systemic damage to multiple joints with an unclear cause. Thus, it cannot be cured, meaning it cannot be completely healed. Treatment can only alleviate joint pain and morning stiffness through medication, delay the onset of complications, reduce bone damage, decrease disability rates, and improve quality of life. This is the comprehensive purpose of treatment. Therefore, early diagnosis and standardized treatment of this disease are essential to prevent joint deformities and to maintain quality of life.
Treatment of Acute Flare-ups of Rheumatoid Arthritis
During the acute phase of rheumatoid arthritis, typical treatment includes absolute bed rest and avoiding intense physical activities, followed by a diet rich in fresh fruits and vegetables containing vitamins. Medication-wise, sodium diclofenac or meloxicam are used, which are non-steroidal drugs that relieve joint pain. If these drugs are not effective, steroids such as methylprednisolone are administered, initially at doses of 20 mg or 40 mg, until the pain eases, then gradually reducing the steroid dosage. During steroid treatment, it's also important to prevent side effects, namely, by supplementing with calcium and incorporating drugs that protect the stomach lining. (The above medications should be used under medical supervision.)
What medicine is used for rheumatoid arthritis?
First, rheumatoid arthritis is an autoimmune disease and a chronic condition that cannot be cured. The primary goal of treatment is to alleviate symptoms, delay complications, improve quality of life, and reduce disability through conventional drug therapies. Treatment methods include general treatment and medication. General treatment consists of functional exercise and lifestyle considerations, such as avoiding cold water and raw, cold foods, and emphasizing the importance of exercise. Additionally, the first-line drug treatments include nonsteroidal anti-inflammatory drugs and disease-modifying antirheumatic drugs (DMARDs), with traditional DMARDs being the current preferred and anchor treatment option.
Does ankylosing spondylitis cause buttock pain?
Ankylosing spondylitis may cause buttock pain. It primarily affects the axial joints, and can be accompanied by extrarticular manifestations. This condition leads to stiffening and deformity of the spine, and it cannot be cured, only managed with medication to slow the progression of the disease, delay joint deformity, improve quality of life, and reduce disability rates. Its clinical manifestations vary widely, and its onset is often insidious. Men are more commonly affected and tend to experience more severe symptoms. The most common symptoms include stiffness in the neck or pain in the lumbar and back areas. However, some people may experience pain in the lower back, accompanied by morning stiffness, or alternating pain in the buttocks, or radiating pain from the groin to the lower limbs. This pain is often worse at night or after prolonged sitting, but symptoms can lessen after activity.