• Critical care clinics · Oct 2002

    Review

    Rheumatoid arthritis.

    • Harakh V Dedhia and Anthony DiBartolomeo.
    • Medical Intensive Care Unit, Department of Medicine and Anesthesiology, West Virginia University Health Science Center, 3306 HSS, 100 Medical Center Drive, Morgantown, WV 26506, USA. hdedhia@hsc.wvu.edu
    • Crit Care Clin. 2002 Oct 1; 18 (4): 841-54, ix.

    AbstractRheumatoid arthritis (RA) is a systemic, debilitating disease characterized by chronic polyarticular inflammation that leads to erosion of joint and bones and to significant extra-articular, systemic, and cardiopulmonary manifestations. RA affects the patient's psychologic and social well-being as well as physical activity. The economical burden is high. Patients with RA may be admitted to the ICU for a variety of problems and present unique challenges to all physicians, including intensivists. This article discusses the basic pathophysiology and clinical manifestations of RA and the extra-articular disorders that bring these patients to an ICU. The management of these patients in ICU is discussed, with emphasis on airway management and outcome.

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