Público alvo: técnico.
A última edição da prestigiosa revista British Medical Journal chama a atenção dos GPs (General Practitioners) britânicos para as melhores condutas em relação ao paciente que se apresenta com poliartrite. O sumário do artigo:
What you need to know
Consider rheumatoid arthritis in any patient presenting with joint pain, swelling, and morning stiffness of over 30 minutes
Refer within two weeks if symptoms affect small joints of the hands or feet, or more than one joint, or have been present for at least three months
Starting treatment with combination disease-modifying antirheumatic drugs (including methotrexate), especially within three months of symptom onset, can slow disease progression and improve symptoms, function, and quality of life
When rheumatoid arthritis is suspected, x ray symptomatic joints and measure rheumatoid factor, erythrocyte sedimentation rate, and C reactive protein without delaying referral, as negative results do not exclude the diagnosis.
BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i387 (Published 23 March 2016)
Cite this as: BMJ 2016;352:i387