What are the five items of rheumatism

The treatment of rheumatism is a long process, just like the disease itself. Rheumatic patients all suffer from poor joint protection or have problems with their daily diet. We have mentioned before the three rheumatism items and the four rheumatism items, which are common items in rheumatism examinations. The doctor will choose according to the patient's condition. Many people do not know the specific contents of the five rheumatism items. So, what are the five specific items of rheumatism?

1. X-ray examination

Early X-rays can show swelling of the soft tissue around the affected joints, while in the late stages there are joint subluxation, deformity, and injury.

2. Rheumatoid factor

It has a relatively important reference value for diagnosis. Generally, rheumatoid factor examination can be used to diagnose whether a person has rheumatoid arthritis. However, a negative rheumatoid factor cannot rule out the possibility of this disease and must be combined with clinical findings.

3. C-reactive protein and erythrocyte sedimentation rate

C-reactive protein is closely related to disease activity index, morning stiffness duration, grip strength, joint pain and swelling, erythrocyte sedimentation rate and hemoglobin level. C-reactive protein decreases when the disease is relieved, and increases vice versa. The persistent failure of C-reactive protein levels to decrease usually indicates the progression of the disease. As the disease worsens, the erythrocyte sedimentation rate accelerates and can return to normal when the disease is relieved. However, about 5% of rheumatoid arthritis patients do not have an increased erythrocyte sedimentation rate when the disease is active.

4. Blood routine test

Patients with rheumatoid arthritis may suffer from anemia. The white blood cell count is mostly normal, but may increase slightly during the active phase. Anemia and thrombocytosis are associated with disease activity. In most cases, the erythrocyte sedimentation rate is often increased in active lesions and can be an indicator of disease activity. Serum iron and iron-binding protein levels are often decreased.

5. HD-Thermal chromatography inspection system inspection report

In the early stage of rheumatoid arthritis when the symptoms are not obvious, it is difficult to diagnose whether the disease is present based on the examination data. The HD-thermal tomography detection system can detect joint inflammation in advance and effectively detect the location of lesions in each joint of the patient, the nature and degree of inflammation, etc. It is the most important item in the rheumatoid arthritis examination report.

1. Anti-"O": This test is an immunological examination to prove whether the patient has hemolytic streptococcal infection and is often used in the diagnosis of acute rheumatic diseases. It is an indicator of hemolytic streptococcal infection, such as rheumatic fever, acute glomerulonephritis, tonsillitis, etc.

1. Principle: Streptolysin "O", referred to as ASO or anti-"O", is one of the metabolites of cluster A hemolytic streptococci. It is a protein with hemolytic activity that can dissolve red blood cells of humans and some animals. If the patient's serum contains anti-streptolysin "O" antibodies, ASO will lose its hemolytic ability.

2. Clinical significance: (1) Since infection with cluster A hemolytic streptococci is relatively common, the serum of normal people also contains a certain amount of ASO antibodies, usually 126 to 166 units, and sometimes as high as 250 units or more. Therefore, the results of a single test cannot be used as the basis for diagnosis. For adults, a test result of 500 units or more is considered positive, and 250 to 330 units is considered suspicious. For suspected patients, multiple examinations should be carried out after the onset of the disease. If the unit increases by more than two times, it is meaningful.