There is such a kind of disease, which will affect our bones, joints, muscles, tendons, synovium, fascia, and have a great impact on the work and life of patients!It has a wide variety, there are ten categories, and there are more than 200 kinds, and its occurrence often brings lifelong disability ...... to patientsSpeaking of which, you should know what kind of disease you're talking about, and you guessed it right, it's rheumatism!
Suffering from rheumatic immune diseases can cause damage to all parts of the body, among which the hands are one of the objects of its "key care", today we will talk about which changes in the hands indicate that you may have rheumatic immune diseases
8 abnormal changes in the hands that indicate rheumatic problems
1.Hebden nodules.
Herberten's nodules are a description of the morphology of the nodules, specifically cartilaginous or bony hypertrophy and flexion deformities on the dorsal side of the distal interphalangeal joints, which occur in menopausal women and often involve multiple fingers, resulting in joint enlargement, mild tenderness, and pain with joint movement, sometimes accompanied by numbness, tingling, and clumsiness in between. As the disease progresses, patients with Hebden's nodules experience significant joint flexion or lateral displacement.
2.Fusiform swelling and interphalangeal joint deformity.
Fusiform joints are the most prominent symptoms of rheumatoid arthritis, which refers to the significant swelling and deformity of the joints, and patients often have large knuckles, metacarpoplar joints, and other small joints.
This symptom can occur due to rheumatic factor involving the finger joints due to prolonged exposure to cold conditions and lack of care to keep warm, as well as osteoarthritis due to degenerative degeneration.
3.Chalkstone.
Tophi is one of the manifestations of gout, a rheumatological disease, which is caused by high levels of uric acid in the blood, causing uric acid to crystallize in the body and deposit in the joints. After the onset of gout, the patient's blood uric acid level will rise, and recurrent episodes of acute arthritis will occur, as well as the appearance of tophi, which will affect the joints of the whole body, including the joints of the hands, causing pain, redness and swelling of the affected joints.
4.Changes in nail texture.
Because rheumatism destroys the bones and joints, the condition of low calcium occurs, resulting in the patient's nails becoming more textured and the surface is not smooth.
In addition, if synovitis occurs, the function of osteoclasts will be enhanced, and the role of osteoblasts will be reduced, at this time, bone loss is greater than synthesis, forming osteoporosis, resulting in changes in the patient's nail characteristics.
5.Mechanic hands.
The mechanic's hand, as the name suggests, is like the mechanic's hand, which is manifested by keratinization and cracks on the outer palm surface of the hands, as well as roughness and scaling.
6.Periungual erythema.
Erythema around the fingers and fingers (toes) is a physical clinical symptom of lupus erythematosus and is a connective tissue disease. Lupus erythematosus is one of the autoimmune diseases, which is a type of rheumatological disease. Patients will develop skin lesions around the nails, which may be bright red in color, telangiectasias, and scaly desquamation in the early stage, and blister ulcers, atrophy, and pigmentation in the later stages.
7.Raynaud's phenomenon.
Raynaud's phenomenon refers to a manifestation of color changes such as whitening, purple, or flushing of fingers and toes when stimulated by low temperatures or emotional stress. The cause of this symptom is that the extremity is distal ischemia due to the spasmodic narrowing of the arterioles supplying the acral blood, and the occurrence of Raynaud's phenomenon is usually accompanied by local pain, numbness, chills, or burning. Almost all connective tissue disorders are associated with Raynaud's phenomenon and may be the first symptom.
8.Gottron's sign.
The Gottron sign, also known as the Gottron sign, is characterized by dark purplish-red erythema with irregular margins and protruding skin lesions on the dorsal joints, around the nails, olecranon process, knees, and medial malleolus, and may also be accompanied by edema.
Gottron is a characteristic symptom of inflammation, which is an autoimmune disease with proximal muscle weakness, various lesions, and involvement of multiple internal organs such as the lungs.
Hands are a super tool for human beings, and a healthy pair of hands is very important for a person, so how can rheumatism patients protect their hand joints?
4 techniques of "hand care" for patients with rheumatism and immune diseases
1.Avoid holding the joint for a long time: Patients with rheumatological diseases should avoid keeping their hands in flexion for a long time, and should take appropriate rest and stretch their fingers during the use of their hands.
2.Use larger and stronger joints: When arthritis occurs, our hands become unstable and more prone to injury. Therefore, we need to do a good job of protection, such as using the arm or elbow joint as much as possible when lifting heavy objects.
3.Maintain correct joint posture: Patients with rheumatic immune diseases should pay attention to maintaining good posture of their hands at all times.
4.If the temperature is angled, the blood circulation of the hand will be slowed down, and the inflammatory metabolism will become sluggish, resulting in the continuous stimulation of inflammation to the synovial membrane of the hand joint, causing the aggravation of joint pain and swelling.
Rheumatism can hurt the hands should not be underestimated, once the 8 abnormalities mentioned in this article appear, we must go to the hospital for diagnosis in time**, and don't let rheumatism threaten our hands again!