The Importance of Prompt Diagnosis and Referral
The PCP is in a key position to recognize RA or Psoriatic Arthritis sooner
As a primary care physician, you may be the first physician a patient sees when he or she experiences symptoms of rheumatoid arthritis (RA) or psoriatic arthritis. Studies have shown that over half of patients suffer from joint damage by the time they are diagnosed with these diseases, so it is crucial that these patients are referred to a rheumatologist as soon as possible, to inhibit further progression.1-7
Serial x-rays show structural damage of RA over time8
Serial x-rays show structural damage of RA over time
Changes can be seen in joints of the hands, beginning with (A) the swelling of the soft tissue, but with intact underlying cortex and no erosions.
This is followed by (B) thinning of the radial side of the cortex with minimal disturbance of underlying trabeculae and minimal joint space narrowing.
A marginal erosion (C) appears on the radial aspect of the metacarpal head. There is loss of bone substance and joint space narrowing.
©2009 American College of Rheumatology. Images used with permission.
The earlier that RA and psoriatic arthritis are diagnosed, the sooner treatment can be initiated that can help inhibit progression of joint damage. If a patient appears to be experiencing symptoms of RA or psoriatic arthritis, refer them to a rheumatologist as soon as possible.3-6
Symptoms to watch for
RA symptoms may include:9-11
- Morning joint stiffness
- Joint pain
- Joint swelling, commonly observed in the hands
- Weakness
- Fatigue
Psoriatic arthritis symptoms may include:12-14
- Swelling of an entire finger or toe
- General joint pain, stiffness, and swelling
- Back pain and stiffness (lower back, neck, and upper back)
- Psoriatic skin lesions (raised, red patches, often covered with silvery white scales)
- Changes in the nails: pitting is commonly seen in the fingernails and toenails of 90% of people with psoriatic arthritis
Help your patients prepare for their appointment with a rheumatologist
This downloadable conversation guide is designed to help patients prepare for their appointment with a rheumatology specialist. Questions include, "What are my treatment options for RA?" and "When can I expect results?"
Download Conversation Guide for Patients and Rheumatologists
RAConversations is a video series created to demonstrate common discussions that a patient may have with a rheumatology specialist, from questions about the condition to information about taking ENBREL for moderate to severe RA.
View RAConversations
Browse additional patient support materials