Asymmetrical Arthritis: Causes & Reasons

Possible Causes for Asymmetrical Arthritis

Asymmetric psoriatic arthritis: Asymmetric arthritis typically involves one to three joints in the body -- large or small -- such as the knee, hip, or one or several fingers [webmd.com]

Common features of the above four conditions include: Arthritis affecting joints of the arms and legs in an asymmetrical distribution Arthritis of the spine, hips and shoulders [dermnetnz.org]

Asymmetric psoriatic arthritis does not affect matching pairs of joints on opposite sides of the body. [webmd.com]

Reiter Syndrome

Psoriatic arthritis can simulate reactive arthritis, causing similar skin lesions, uveitis, and asymmetric arthritis. [merckmanuals.com]

All 18 patients were seronegative, 12 (66.6%) presenting with an asymmetrical oligoarticular arthritis. [ncbi.nlm.nih.gov]

STD, or infection with Chlamydia, Campylobacter, Salmonella, Yersinia Clinical Urethritis days or wks after an infection, followed by a low-grade fever, conjunctivitis, asymmetric [medical-dictionary.thefreedictionary.com]

Ankylosing Spondylitis

The other clinical features of AS and related SpA may include asymmetric arthritis (that more often affects lower extremities) or inflammation of some of the extra-articular [hlab27.com]

[…] peripheral arthritis of lower extremities. - must be differentiated from DISH ; - Management: - NSAIDS : patients should be placed on indocin as soon as the diagnosis is [wheelessonline.com]

Arthritis of the peripheral joints other than hips and shoulders, usually asymmetric, occurs in 30% of patients. Neck pain and stiffness are usually late manifestations. [clinicaladvisor.com]

Relapsing Polychondritis

Nasal cartilage inflammation is the next most common manifestation, followed by arthritis that varies from arthralgias to symmetric or asymmetric nondeforming arthritis involving [merckmanuals.com]

[…] are common The upper airways can eventually become stenosed and permanent tracheostomy may be required Musculoskeletal Up to 75% of cases are affected Most commonly, the arthritis [pcds.org.uk]

[…] is asymmetric, oligoarticular or polyarticular, and usually non-erosive The ankles, elbow, wrists, proximal interphalangeal joints, metacarpophalangeal joints, and metatarsophalangeal [pcds.org.uk]

Pseudogout

[…] joint space narrowing and osteophyte formation) in both degenerative arthropathy and "pseudorheumatoid arthritis" With light microscopy, the rhomboid-shaped crystals differ [accessmedicine.mhmedical.com]

MDS-related arthritis involves multiple asymmetrical joints in a migratory fashion with infrequent association with positive Rh factor. [cureus.com]

[…] displayed by definition a periodontoid arthritis and often asymmetrical shoulder and/or wrist involvements. 3.2. [hindawi.com]

Axial Spondyloarthritis

Here are the most common characteristics.[2][12][13][13][15] back pain osteoporosis spinal fractures peripheral arthritis, usually asymmetric, relatively more in the lower [physio-pedia.com]

The arthritis typically involves joints in the lower extremities in an asymmetric fashion. [spondylitis.org]

The pattern of the peripheral arthritis was usually below waist, asymmetrical large joint involvement. [hindawi.com]

Rheumatic Fever

Rheumatic arthritis is an asymmetric, migratory / fleeting polyarthritis with predominant involvement of large joints of lower limbs and migrates to the upper limb. [pmmonline.org]

Arthritis in rheumatic fever is seen in about 30-50% children and more often in children with older age at presentation. [pmmonline.org]

Circinate Balanitis of Reiter's Disease

Psoriatic arthritis can simulate reactive arthritis, causing similar skin lesions, uveitis, and asymmetric arthritis. [merckmanuals.com]

Reactive arthritis is an acute spondyloarthropathy that often seems precipitated by an infection, usually GU or GI. [msdmanuals.com]

Reactive arthritis, formerly known as Reiter’s syndrome (see note at bottom) is an aseptic asymmetric arthritis which predominantly affects the lower limbs and tends to follow [mrcprevision.blogspot.com]

Spondylitic Aortitis

--acute, highly inflammatory asymmetric arthritis involving knees, ankles, toes, and fingers. [quizlet.com]

Five -- DIP involvement, Arthritis mutilans, Asymmetrical polyarthritis, Oligoarthritis, Ankylosing Spondylitis. [brainscape.com]

" replacing Reiter syndrome as preferred designation seronegative reactive arthritis postinfectious arthritis Organs Involved: joints - asymmetric, pauciarticular, lower extremities [enotes.tripod.com]

Reactive Arthritis

Psoriatic arthritis can simulate reactive arthritis, causing similar skin lesions, uveitis, and asymmetric arthritis. [msdmanuals.com]

Reactive Arthritis, formerly known as Reiter Syndrome, is a member of the seronegative spondyloarthropathies and is characterized clinically by the triad of an acute asymmetric [pathwaymedicine.org]

Common manifestations include asymmetric arthritis of variable severity that tends to affect the lower extremities with sausage-shaped deformities of fingers or toes or both [msdmanuals.com]

Psoriatic Juvenile Idiopathic Arthritis

Juvenile psoriatic arthritis (JPsA) is characterized by asymmetric arthritis of big and small joints, enthesitis, dactylitis, psoriatic skin lesions and nail pitting. [ncbi.nlm.nih.gov]

Asymmetric arthritis Asymmetric arthritis is where less than five joints are affected at any one time. [healthand.com]

Common features of the above four conditions include: Arthritis affecting joints of the arms and legs in an asymmetrical distribution Arthritis of the spine, hips and shoulders [dermnetnz.org]

Seronegative Arthritis

The one feature that is unique and characteristic in psoriatic arthritis is: Spondylitis Arthritis mutilans Dactylitis Enthesopathy Asymmetric arthritis Tumor necrosis factor [rheumatology.org]

Five -- DIP involvement, Arthritis mutilans, Asymmetrical polyarthritis, Oligoarthritis, Ankylosing Spondylitis. [brainscape.com]

Rheumatoid arthritis can present in asymmetrical fashion but is not usually associated with uveitis or enthesopathy. [rheumatology.org]

Arthritis due to Ulcerative Colitis

All of the arthritis were inflammatory. In 2 (13%) of patients, arthritis were symmetric and in 9 (60%) of cases were asymmetric. [cjhr.org]

All of arthritis were inflammatory. In 2(13%) of patients, arthritis were symmetric and in 9(60%) of cases were asymmetric. [jmedsoc.org]

There is an asymmetric, oligoarticular arthritis that predominantly affects the lower limbs. [patient.info]

Carcinomatous Polyarthritis

[…] carcinomatous polyarthritis asymmetric arthritis of the large and small joints, often in association with malignancy. [medicine.academic.ru]

arthritis, one or more large joints. [quizlet.com]

Documentation: Some patients with cancer develop a seronegative arthritis that is associated with the tumor's level of activity. [meducator3.net]

Juvenile Seronegative Polyarthritis

Asymmetrical arthritis affecting small and large joints. In over 50% arthritis occurs before psoriasis. [patient.info]

Asymmetric arthritis may be acute or chronic and may be destructive in 15% of patients. [emedicine.medscape.com]

In asymmetrical joint involvement consider gout, psoriatic arthritis and reactive arthritis. Extra-articular symptoms should be asked about and can aid diagnosis. [patient.info]

Undifferentiated Spondyloarthropathy

They can present inflammatory spine pain, peripheral asymmetric arthritis predominant in low extremities, cutaneous and mucosal lesions, inflammatory eye disease, cardiovascular [elsevier.es]

Enthesitis-Related Arthritis

The enthesitis-related arthritis (ERA) category usually affects boys older than 6 years and presents with lower limb asymmetrical arthritis associated with enthesitis. [ncbi.nlm.nih.gov]

[…] and Durga Prasanna Misra}, journal={Clinical Rheumatology}, year={2015}, volume={34}, pages={1839-1846} } Juvenile idiopathic arthritis (JIA) is the most common chronic arthritis [semanticscholar.org]

[…] oligoarticular arthritis of the lower limbs, associated with pain in the tendon insertion zone (enthesitis). [orpha.net]

Enteropathic Arthritis

As peripheral arthritis, there is typically a pattern of pauciarticular (four or fewer joints involved) and asymmetric arthritis (affected joints are not on the same side [verywellhealth.com]

oligoarticular arthritis involving the lower limbs along with gastrointestinal manifestations of IBD Prognostic factors IBD related arthritis usually carries worse prognosis [pathologyoutlines.com]

oligoarticular arthritis of the lower limbs (usually transient, episodic) Can progress to involve more joints or even present as a more chronic polyarticular arthritis affecting [dundeemedstudentnotes.wordpress.com]

Ipp-Gelfand Syndrome

An asymmetrical arthritis pattern is shown below. Asymmetrical arthritis pattern of psoriatic arthritis (fixed flexion deformity). [emedicine.medscape.com]

Subtypes Percentage of cases Distal interphalangeal joint-predominant arthritis 10% Symmetric polyarthritis-predominant arthritis 5%-20% Asymmetric oligoarthritis or monoarthritis [clevelandclinicmeded.com]

Various studies have shown peripheral psoriatic arthritis to be the most frequent pattern with asymmetric knee involvement to be the most common presentation in 40% of the [journals.lww.com]

Juvenile Seropositive Polyarthritis

Enthesitis-related arthritis is a separate disease subtype, characterized by enthesitis and asymmetric lower-extremity arthritis. [ncbi.nlm.nih.gov]

Articular involvement varies from symmetrical small-joint arthritis to asymmetrical lower-extremity large-joint arthritis and finally may progress to polyarthritis mimicking [ncbi.nlm.nih.gov]

Typical joint involvement is asymmetric oligoarticular lower-extremity arthritis with the knee and ankle being most commonly affected. [ncbi.nlm.nih.gov]

Oligoarthritis

An asymmetrical arthritis pattern is shown below. Asymmetrical arthritis pattern of psoriatic arthritis (fixed flexion deformity). Did this answer your question? [medscape.com]

They also described its five main clinical patterns viz: distal interphalangeal (DIP) arthritis, arthritis mutilans (Destructive), symmetric polyarthritis, asymmetric oligoarthritis [medical-dictionary.thefreedictionary.com]

Usually males aged 15 - 40 years, rare in women, children & the elderly Familial aggregation Arthritis appears 2 - 6 weeks after initiating infection ® acute onset with asymmetric [flinders.edu.au]

Gonococcal Arthritis

[…] syndrome ) Polyarthralgias : migratory, asymmetric arthritis that may become purulent Tenosynovitis : simultaneous inflammation of several tendons (e.g., fingers, toes, wrist [amboss.com]

Gonorrhea is the most common cause of septic arthritis in young adults, and the initial signs and symptoms of gonococcal arthritis are fever, chills, and asymmetric polyarthralgia [symptoma.com]

arthritis. [emedicine.medscape.com]

Polyarthritis

An acute onset of asymmetric deforming arthritis, dominant in the lower limbs, was the usual pattern. Sacroiliitis and enthesopathy were uncommon. [semanticscholar.org]

People with psoriatic arthritis often experience asymmetrical symptoms, so they may have symptoms in one knee, for example. [healthline.com]

arthritis should be considered in any patient with an asymmetric oligoarticular polyarthritis. [aafp.org]

Aprosencephaly and Cerebellar Dysgenesis

Asymmetrical leukomyelitis Caprine Arthritis-Encephalitis - Leukoencephalitis Caprine Arthritis-Encephalitis Caprine Arthritis-Encephalitis Cervical Stenotic Myelopathy [quizlet.com]

Thrombotic meningoencephalitis (TME) EHV-1 Encephalomyelopathy EHV-1 Encephalomyelopathy Eastern Equine Polioencephalomyelitis Eastern Equine Polioencephalomyelitis Caprine Arthritis-Encephalitis [quizlet.com]

Acute Polyarticular Gout

[…] and enteropathic arthritis † Arthritis that is asymmetric and more common in large lower extremity joints Reactive arthritis: GI or GU infection 1–3 wk before onset of acute [merckmanuals.com]

Radiographic abnormalities seen in longstanding gout are an asymmetric, erosive arthritis with characteristic “scooped-out” marginal erosions with sclerotic borders and often [rheumaknowledgy.com]

In asymmetrical joint involvement consider gout, psoriatic arthritis and reactive arthritis. Extra-articular symptoms should be asked about and can aid diagnosis. [patient.info]

Osteitis Condensans Ilii

[…] develops after infections outside a joint can manifest as asymmetrical arthritis of the lower extremities or inflammatory back pain. [ekjm.org]

• Fig SP 17-4 Psoriatic arthritis. Bilateral, though somewhat asymmetric, narrowing of the sacroiliac joints. 7. • Fig SP 17-5 Reactive arthritis. [de.slideshare.net]

In childhood, AS usually presents in older boys as an asymmetric oligoarticular arthritis of the lower extremities, often predating back symptoms. [hss.edu]

Juvenile Ankylosing Spondylitis

The predominance of lower extremity involvement is irrefutable in JAS and arthritis tends to be asymmetric. Disease progression is also fluctuant. [symptoma.com]

Features of SpA are important to identify early at presentation and include alternating buttock pain, asymmetric peripheral arthritis, heel pain, uveitis, positive family [racgp.org.au]

The joints show an asymmetric involvement. The presence of hip arthritis and arthritis of the small joints of the midfoot are highly suggestive of the diagnosis. [boneandspine.com]

Submammary Abscess

Arthritis multilans Differential diagnosis Dermatitis/eczema: discoid or seborrhoeic Lichen planus Pityriasis rosea [esp. guttate psoriasis] 2 o stage of syphilis Reiter [almostadoctor.co.uk]

[…] arthropathy : pauciarticular arthritis, polyarthritis / polyarthralgia syndrome [42] History [ edit ] From 1833 to 1839 in a series of three publications, Velpeau identified [en.wikipedia.org]

[…] horizontal, across the nail] Differential diagnosis: fungal infection, alopecia areata Psoriatic arthropathy Patterns: [1] AnkSpond-like/spondylitis; [2] RA-like/symmetrical; [3] Asymmetrical [almostadoctor.co.uk]

Polyarticular Juvenile Idiopathic Arthritis

arthritis of small or medium-sized joints, asymmetric arthritis involving < 5 joints. [pathophys.org]

Asymmetrical arthritis affecting small and large joints. In over 50% arthritis occurs before psoriasis. [patient.info]

(absence of rheumatoid nodules and presence of psoriasis); (3) arthritis mutilans; (4) asymmetric psoriatic arthritis; or (5) spondylitis- like ankylosis. [mymemory.translated.net]

Familial Pachydermodactyly

[…] in Rheumatoid Arthritis? [paperbase.net]

10.1186/s40064-015-0858-1 Identification of a HERV-K env surface peptide highly recognized in RA patients: A cross-sectional case-control study. 10.1111/cei.12964 Asymmetric [paperbase.net]

An approach to a personalized medicine 10.1002/acr.21768 Plasma asymmetric dimethylarginine (ADMA) levels and atherosclerotic disease in ankylosing spondylitis: A cross-sectional [paperbase.net]