• badia shyamali
• monica
• k.sridevi

Abstract Rheumatoid arthritis (RA) is a chronic disease which affects joints specifically small joints at wrist, fingers and at spinal cord etc. This disease happens due to the body’s immune system attacks its own tissue and organs; it is an auto immune disorder in the human body. Timely diagnosis and proper treatment can save joint destruction and also save the patient from becoming a disable person. It is difficult to diagnose Rheumatoid arthritis at an initial stage as it looks like other common arthritis, most of the people suffer. It can be predicted based on inflammation in small joints and some clinical observations such as rise in ESR and Rheumatoid Factor. Incorporating this treatment particularly by combination of DMARDs concurrent with short duration of corticosteroid is expected to prevent progressive path and even change the natural course of RA. As if any patients with clinical synovitis consider to be having joints definite RA requiring aggressive treatment. Rheumatoid arthritis (RA) is an inflammatory rheumatic disease which progressively affects articular and extra-articular structures resulting in pain and persistent inflammation leads to the beginning symptoms of disease are not similar in all patients but vary in regard to the pattern of joint involvement. The course of disease may also be differing according to the presence of several variables including genetic background. The initial presenting features of early RA do not significantly swollen joints and the severity of inflammation differs from other inflammatory arthritis. So prior to come to the conclusion basing on diagnosis, patients with early RA are usually discriminated from other inflammatory arthritis. Up to now, early RA was mainly to patients with disease duration of less than 2 years preferentially less than 12 months. At present, "early" RA is regarded as patients with symptom duration more than 3 months as early disease. However, this term not been accepted by majority rheumatologists and believe that patients have either established RA or undifferentiated inflammatory arthritis

"Rheumatoid Arthritis: Causes, diagnosis and treatment.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 10, page no.2794-2796, October-2020, Available :http://www.jetir.org/papers/JETIR2010364.pdf

"Rheumatoid Arthritis: Causes, diagnosis and treatment.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 10, page no. pp2794-2796, October-2020, Available at : http://www.jetir.org/papers/JETIR2010364.pdf