Degenerative arthritis

The patient with peripheral or axial joint osteoarthritis will usually give a history of gradually increasing pain over months or years, with loss of movement of the joint. Early morning stiffness and pain is usually minimal but when present will usually settle with gentle use of the joint over

Rash Associated With Rheumatic Fever

Conjunctivitis

Enteritis

Urethritis Balanitis

Synovitis

Dactylitis

Plantar fasciitis Pustular psoriasis

Conjunctivitis

Enteritis

Urethritis Balanitis

Synovitis

Dactylitis

Plantar fasciitis Pustular psoriasis

Fig. S.1 Clinical features of reactive arthritis.

TABLE B.5 Examples of extra-articular features associated with rheumatic disease

Non-articular features

Symmetrical polyarthritis RA

Asymmetrical oligoarthritis Psoriatic arthritis Reactive arthritis (including Heifer's syndrome)

Ankylosing spondylitis Sarcoidosis

Monoarthritis

Gout

Septic arthritis

Subcutaneous nodules, Raynaud's phenomenon, sicca syndrome, pleurisy, episcleritis

Raynaud's phenomenon, serosltis, alopecia, photosensitivity, rash, fever, episcleritis

Psoriasis, nail dystrophy Urethritis, conjunctivitis, fever, penile ulcers, psoriasiform rash, Iritis, moulh ulcers, diarrhoea, enfhesltis (e.g. Achilles tendonitis, plantar fasciitis) Iritis, enthesitis

Erythema nodosum and hilar adenopathy

Tophi, obesity, renal Impairment Fever, malaise, source (usually skin), throat approximately 15-30 minutes, but may return as the day progresses, with impairment of activities. In more severe cases, res( pain and night pain occur.

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