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Arthritis

Symptoms, Signs and Abnormal Clinical Findings

Arthritis is not a single disease but a general class of conditions marked by pain, swelling and stiffness in the joints, ranging from the mechanical wear of osteoarthritis to the autoimmune joint attack of rheumatoid arthritis and other inflammatory forms; this atlas records it as a general class, matching the same discipline already applied to cancer and cardiovascular disease. The name comes from the Greek arthron, joint, and the suffix -itis, inflammation. Ancient physicians described joint pain broadly: the Egyptian Ebers Papyrus, circa 1500 BCE, and the Hippocratic corpus, around 400 BCE, both describe symptoms consistent with the disease, with Hippocrates distinguishing gout from other joint pain without otherwise separating out its different forms. A specific clinical description of rheumatoid arthritis as its own condition, distinct from gout, did not arrive until 1800, when French physician Augustin Jacob Landre-Beauvais described it under the name primary asthenic gout; British physician Alfred Baring Garrod coined the name rheumatoid arthritis in 1859, and his son Archibald Garrod formally distinguished osteoarthritis from it in 1890.

Facts
Condition Class
chronic, degenerative and autoimmune, musculoskeletal 4
First Described
1859 4
1859 marks Alfred Baring Garrod formal naming of rheumatoid arthritis as its own condition distinct from gout, following Landre-Beauvais 1800 clinical description; ancient references exist but carry no fixed year.
First Described (Era)
The Egyptian Ebers Papyrus, circa 1500 BCE, and the Hippocratic corpus, around 400 BCE, both describe joint symptoms consistent with arthritis; Hippocrates distinguished gout from other joint pain without otherwise separating its forms. 4
Prevalence
The World Health Organization Global Burden of Disease 2019 estimates put osteoarthritis at 528 million people affected worldwide and rheumatoid arthritis at 18 million. 3
Classification
Body System
Integumentary System 1
Body System
Skeletal System 1
ICD-10 Chapter
XVIII: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified 2
Communicable or Non-communicable
Non-Communicable 3
Transmission Route
Non-Transmissible 1
Learn More
One Name, Many Diseases

This article records tradition as it has been passed down and reported. Its sources are not yet part of the atlas's verified catalogue.

Arthritis is one of the oldest words in medicine and one of the least precise, and this atlas records it deliberately as a general class rather than a single condition, the same discipline it already applies to cancer and cardiovascular disease. The name itself, from the Greek arthron, joint, and the suffix -itis, inflammation, says only that a joint is inflamed, and says nothing about why: osteoarthritis is the mechanical wear of cartilage over time, while rheumatoid arthritis is the body's own immune system attacking joint tissue, a fundamentally different disease that happens to produce some of the same symptoms.

Ancient physicians did not distinguish between these causes. The Egyptian Ebers Papyrus, from around 1500 BCE, described a condition resembling rheumatoid arthritis, and the Hippocratic corpus, from around 400 BCE, describes joint pain and swelling; Hippocrates noted conditions resembling arthritis, sometimes referring to less severe pains distinct from gout, without otherwise sorting out the different diseases hiding under one broad description. That sorting would not begin in earnest for another twenty-two centuries.

Primary Asthenic Gout

This article records tradition as it has been passed down and reported. Its sources are not yet part of the atlas's verified catalogue.

The clinical separation of rheumatoid arthritis from every other kind of joint disease has a surprisingly precise birthdate. In 1800, French physician Augustin Jacob Landre-Beauvais published the first recognized clinical description of the condition, though he gave it an awkward name, primary asthenic gout, that tied it to a disease it is not. His observations were sound even if his label was not: he documented the condition's tendency to affect women, its chronic course, and its involvement of multiple joints at once, features that still define the disease today.

It took British physician Alfred Baring Garrod until 1859 to give the condition the name that stuck, rheumatoid arthritis, formally distinguishing it from gout. The final piece of the puzzle came a generation later and from within the same family: Garrod's own son, Archibald Garrod, formally separated osteoarthritis, the mechanical wear-and-tear form of the disease, from its autoimmune cousin in 1890, ninety years after Landre-Beauvais's first description and the point at which arthritis, as a single ancient word, finally began splitting into the distinct diseases modern rheumatology treats separately.

FAQs

When was rheumatoid arthritis first described as a separate condition?

Landre-Beauvais described it in 1800; Garrod named it in 1859.

Joint pain was described in antiquity, including in the Ebers Papyrus and the Hippocratic corpus, without separating its different forms. The first recognized clinical description of rheumatoid arthritis as its own condition came in 1800 from the French physician Augustin Jacob Landre-Beauvais, who called it primary asthenic gout. Alfred Baring Garrod coined the name rheumatoid arthritis in 1859, and his son Archibald Garrod distinguished osteoarthritis from it in 1890.
Connections

Associated With

Gout, Conditions
Source WikipediaWikipedia contributors
Additional Source Wikipedia: ICD-10Introduction

Long-Form Articles

Treated By

Source ChEMBL, EMBL-EBI: Adalimumab approved indications (ChEMBL)
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Source Wikidata: Hip Replacement Surgery
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Source Joint replacement (Wikipedia)
Source Mustard plaster (Wikipedia)
Osteotomy, Treatments
Source Osteotomy (Wikipedia)
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Additional Source Physical Therapy (Wikipedia)Lead section
Source Reverse shoulder replacement (Wikipedia)
Source Therapeutic ultrasound (Wikipedia)
Source Unicompartmental knee arthroplasty (Wikipedia)
Sources
1. Wikipedia: Arthritis
Wikipedia
  • intro para 1
  • Lead section, body-system statement
    Arthritis is a general medical term used to describe a disorder in which the smooth cartilagenous layer that lines a joint is lost, resulting in bone grinding on bone during joint movement.
  • Lead section, body-system statement (integumentary)
    In certain types of arthritis, other organs, such as the skin, are also affected.
View the Source
2. Wikipedia: ICD-10
Wikipedia
  • List of chapters, Chapter XVIII
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • Associated With: Rheumatology, Introduction
View the Source
3. World Health Organization Fact Sheets
  • Musculoskeletal conditions fact sheet, GBD 2019 data
    Osteoarthritis: 528 million people; 19 million YLDs. Rheumatoid Arthritis: 18 million people; 2.4 million YLDs.
  • Non-infectious classification
4. When Was Arthritis Discovered? A History of the Disease (Biology Insights)
Biology Insights
  • Etymology; Hippocrates Contribution; 1800 Formal Description; 1859 Naming and Distinction
  • Ancient Origins; Hippocrates Contribution
  • 1859 Naming and Distinction
  • 1800 Formal Description
    the first recognized clinical description of rheumatoid arthritis (RA)
View the Source
Wikidata: Hip Replacement Surgery
Treated By: Hip Replacement Surgery, lead paragraphView the Source
ChEMBL, EMBL-EBI: Adalimumab approved indications (ChEMBL)
ChEMBL, EMBL-EBITreated By: Adalimumab, drug_indication record, maximum phase 4, MeSH heading Arthritis
Quote, Treated By: Adalimumab, drug_indication record, maximum phase 4, MeSH heading Arthritis
"max_phase_for_ind": "4.0", "mesh_heading": "Arthritis", "molecule_chembl_id": "CHEMBL1201580"
View the Source
Osteotomy (Wikipedia)
Treated By: Osteotomy, Lead: treats Arthritis
Quote, Treated By: Osteotomy, Lead: treats Arthritis
Osteotomy is one method to relieve pain of arthritis, especially of the hip and knee.
View the Source
Galvanic bath (Wikipedia)
Treated By: Galvanic Bath, Lead: treats Arthritis
Quote, Treated By: Galvanic Bath, Lead: treats Arthritis
Galvanic baths are mostly used in the treatment of degenerative diseases such as inflammatory arthritis and problems with the joints.
View the Source
Therapeutic ultrasound (Wikipedia)
Treated By: Therapeutic Ultrasound, Lead: treats Arthritis
Quote, Treated By: Therapeutic Ultrasound, Lead: treats Arthritis
In physical therapy, there is some evidence that ultrasound is more effective than placebo treatment for treating patients with arthritis pain, a range of musculoskeletal injuries and for promoting tissue healing.
View the Source
Ankle fusion (Wikipedia)
Treated By: Ankle Fusion, Lead: treats Arthritis
Quote, Treated By: Ankle Fusion, Lead: treats Arthritis
Ankle fusion, or ankle arthrodesis, is surgery of the ankle to fuse the bones to treat arthritis and for other purposes.
View the Source
Arthroplasty (Wikipedia)
Treated By: Arthroplasty, Lead: treats Arthritis
Quote, Treated By: Arthroplasty, Lead: treats Arthritis
It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma.
View the Source
Joint replacement (Wikipedia)
Treated By: Joint Replacement, Lead: treats Arthritis
Quote, Treated By: Joint Replacement, Lead: treats Arthritis
Joint replacement surgery is often indicated from various joint diseases, including osteoarthritis and rheumatoid arthritis.
View the Source
Unicompartmental knee arthroplasty (Wikipedia)
Treated By: Unicompartmental Knee Arthroplasty, Lead: treats Arthritis
Quote, Treated By: Unicompartmental Knee Arthroplasty, Lead: treats Arthritis
Unicompartmental knee arthroplasty (UKA) is a surgical procedure used to relieve arthritis in one of the knee compartments in which the damaged parts of the knee are replaced.
View the Source
Chondroprotection (Wikipedia)
Treated By: Chondroprotection, Lead: treats Arthritis
Quote, Treated By: Chondroprotection, Lead: treats Arthritis
A chondroprotective compound is a specific compound or chemical that delays progressive joint space narrowing characteristic of arthritis and improves the biomechanics of articular joints by protecting chondrocytes.
View the Source
Physical Therapy (Wikipedia)
WikipediaTreated By: Physical Therapy, Lead section
Quote, Treated By: Physical Therapy, Lead section
Orthopedic therapists are trained in the treatment of post-operative orthopedic procedures, fractures, acute sports injuries, arthritis, sprains, strains, back and neck pain, spinal conditions, and amputations.
View the Source
Canine hydrotherapy (Wikipedia)
Treated By: Canine Hydrotherapy, Article text, use for
Quote, Treated By: Canine Hydrotherapy, Article text, use for
Canine hydrotherapy is a form of hydrotherapy directed at the treatment of chronic conditions, post-operative recovery, and pre-operative or general fitness in dogs.It assist dogs in recovering from injuries, managing chronic conditions like arthritis, and improving cardiovascular fitness.
View the Source
Faith healing (Wikipedia)
Treated By: Faith Healing, Lead
Quote, Treated By: Faith Healing, Lead
There have been claims that faith can cure blindness, deafness, cancer, HIV/AIDS, developmental disorders, anemia, arthritis, corns, defective speech, multiple sclerosis, skin rashes, total body paralysis, and various injuries.
View the Source
Medical uses of silver (Wikipedia)
Treated By: Colloidal Silver, Alternative medicine
Quote, Treated By: Colloidal Silver, Alternative medicine
Since about 1990, there has been a resurgence of the promotion of colloidal silver as a dietary supplement (used internally), marketed with claims of its being an essential mineral supplement, or that it can prevent or treat numerous diseases, such as cancer, diabetes, arthritis, HIV/AIDS, herpes, and tuberculosis.
View the Source
Hydrogymnastics (Wikipedia)
Treated By: Hydrogymnastics, Health benefits
Quote, Treated By: Hydrogymnastics, Health benefits
There are many health benefits associated with hydrogymnastics; these benefits are evidently found in a variety of people who suffer from physical health issues (e.g. arthritis, muscle pain, etc.), mental health issues (e.g. depression, low self-esteem, anxiety, etc.), injuries (e.g. ligament tears), and disabilities (e.g. cerebral palsy, Parkinson's disease, etc.).
View the Source
Mustard plaster (Wikipedia)
Treated By: Mustard Plaster, Uses
Quote, Treated By: Mustard Plaster, Uses
Mustard plasters were used for aches and pains, including rheumatism, arthritis, and sore muscles.
View the Source
Reverse shoulder replacement (Wikipedia)
Treated By: Reverse Shoulder Replacement, Medical uses
Quote, Treated By: Reverse Shoulder Replacement, Medical uses
Historically, the primary indication to perform reverse shoulder replacement was cuff tear arthropathy, which consists of advanced glenohumeral arthritis in the presence of a massive rotator cuff tear.
View the Source
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