関節痛
WordNet
- pain in a joint or joints
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/12/01 04:49:13」(JST)
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Arthralgia |
Classification and external resources |
ICD-10 |
M25.5 |
ICD-9 |
719.4 |
DiseasesDB |
15237 |
MedlinePlus |
003261 |
MeSH |
D018771 |
Arthralgia (from Greek arthro-, joint + -algos, pain) literally means joint pain;[1][2] it is a symptom of injury, infection, illnesses (in particular arthritis) or an allergic reaction to medication.[3]
According to MeSH, the term "arthralgia" should only be used when the condition is non-inflammatory, and the term "arthritis" should be used when the condition is inflammatory.[4]
Contents
- 1 Diagnosis and causes
- 2 Causes of arthralgia
- 3 Treatment
- 4 See Also
- 5 References
Diagnosis and causes
Diagnosis involves interviewing the patient and performing physical exams. When attempting to establish the cause of the arthralgia, the emphasis is on the interview.[2] The patient is asked questions intended to narrow the number of potential causes. Given the varied nature of these possible causes, some questions may seem irrelevant. For example, the patient may be asked about dry mouth, light sensitivity, rashes or a history of seizures.[2][5] Answering yes or no to any of these questions limits the number of possible causes and guides the doctor toward the appropriate exams and lab tests.
The causes of arthralgia are varied and range, from a joints perspective, from degenerative and destructive processes such as osteoarthritis and sports injuries to inflammation of tissues surrounding the joints, such as bursitis.[6] These might be triggered by other things, such as infections or vaccinations.[7]
Causes of arthralgia
Cause |
Mono- or
polyarticular |
Speed of onset |
Rheumatoid arthritis |
Polyarticular [8] |
Weeks-months[9] |
Systemic lupus erythematosus |
Polyarticular[8] |
Months[10] |
Viral arthritis |
Polyarticular[8] |
|
Ehlers-Danlos Syndrome |
[11] |
|
Reactive arthritis |
Polyarticular[8] |
|
Rheumatic fever |
Polyarticular[8] |
|
Lyme disease |
Polyarticular[8] |
|
Gonococcal arthritis |
Polyarticular[8] |
|
Drug-induced arthritis |
Polyarticular[8] |
|
Osteoarthritis |
Monoarticular[8] |
|
Gout attack |
Monoarticular[8] |
Hours[12] |
Pseudogout |
Monoarticular[8] |
|
Physical trauma |
Monoarticular[8] |
Immediate |
Septic arthritis |
Monoarticular[8] |
Hours[12] |
Hemarthrosis |
Monoarticular[8] |
|
Treatment
Treatment depends on a specific underlying cause. The underlying cause will be treated first and foremost. The treatments may include joint replacement surgery for severely damaged joints, immunosuppressants for immune system dysfunction, antibiotics when an infection is the cause, and discontinuing medication when an allergic reaction is the cause. When treating the primary cause, pain management may still play a role in treatment. The extent of its role varies depending on the specific cause of the arthralgia. Pain management may include stretching exercises, over the counter pain medications, prescription pain medication, or other treatments deemed appropriate for the symptoms. Capsaicin a substance found in chili peppers may relieve joint pain from arthritis and other conditions. Capsaicin blocks substance P, which helps transmit pain signals, and it triggers the release of chemicals in the body called endorphins, which block pain. Side effects of capsaicin cream include burning or stinging in the area where it is applied. Another topical option is an arthritis cream containing the ingredient, methyl salicylate (Bengay).
See Also
References
- ^ "Arthralgia Definition". MedicineNet.com. Archived from the original on 11 October 2007. Retrieved 2007-09-20.
- ^ a b c Joe G. Hardin. "Arthralgia". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ James R Philp. "Allergic Drug Reactions - Systemic Allergic Drug Reactions". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ "MeSH". Retrieved 2007-12-23.
- ^ "Table 159mptomatic Extraarticular Features of the Connective Tissue Diseases and the Spondyloarthropathies". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ Joe G. Hardin. "Table 161.1. Some Common Regional Rheumatic Syndromes". Clinical Methods - The History, Physical, and Laboratory Examinations. Retrieved 2007-09-20.
- ^ Loris McVittie, Ph.D. "Information from CDC and FDA on the Safety of Gardasil Vaccine". supplement to your biologics license application (BLA) for Human Papillomavirus Quadrivalent (Types 6, 11, 16 and 18) Vaccine, Recombinant (GARDASIL), to include arthralgia, myalgia, asthenia, fatigue, and malaise in the Adverse Reactions section of the package insert. Retrieved 2008-07-21.
- ^ a b c d e f g h i j k l m n Table 6-8 in: Elizabeth D Agabegi; Agabegi, Steven S. (2008). Step-Up to Medicine (Step-Up Series). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 0-7817-7153-6.
- ^ Diagnosis lag time of median 4 weeks, and median diagnosis lag time of 18 weeks, taken from: Chan, K. W.; Felson, D. T.; Yood, R. A.; Walker, A. M. (1994). "The lag time between onset of symptoms and diagnosis of rheumatoid arthritis". Arthritis and rheumatism 37 (6): 814–820. doi:10.1002/art.1780370606. PMID 8003053. edit
- ^ Doria, A.; Zen, M.; Canova, M.; Bettio, S.; Bassi, N.; Nalotto, L.; Rampudda, M.; Ghirardello, A.; Iaccarino, L. (2010). "SLE diagnosis and treatment: When early is early". Autoimmunity Reviews 10 (1): 55–60. doi:10.1016/j.autrev.2010.08.014. PMID 20813207. edit
- ^ http://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/basics/definition/con-20033656/
- ^ a b Page 740 (upper right of page) in: Schaider, Jeffrey; Wolfson, Allan B.; Gregory W Hendey; Louis Ling; Carlo L Rosen (2009). Harwood-Nuss' Clinical Practice of Emergency Medicine (Clinical Practice of Emergency Medicine (Harwood-Nuss)). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 0-7817-8943-5.
Musculoskeletal disorders: Arthropathies (M00–M19, 711–719)
|
|
Arthritis
(monoarthritis /
polyarthritis) |
Inflammation
(Neutrophilia)
|
Infectious
|
- Septic arthritis
- Tuberculosis arthritis
- Reactive arthritis (indirectly)
|
|
Noninfectious
|
- Seronegative spondyloarthropathy: Reactive arthritis
- Psoriatic arthritis
- Rheumatoid arthritis: Juvenile idiopathic arthritis
- Adult-onset Still's disease
- Felty's syndrome
- Crystal arthropathy: Gout
- Chondrocalcinosis
|
|
|
Noninflammatory
|
- Osteoarthritis: Heberden's node
- Bouchard's nodes
|
|
|
Other |
- hemorrhage
- pain
- Osteophyte
- villonodular synovitis
- Pigmented villonodular synovitis
- Joint stiffness
|
|
|
|
noco (arth/defr/back/soft)/cong, sysi/epon, injr
|
|
|
|
|
Pain and nociception
|
|
By region/system |
HEENT |
- Headache
- Neck
- Odynophagia (swallowing)
- Otalgia (ear)
- Toothache
|
|
Chest pain |
Cardiovascular system |
|
|
Respiratory system |
|
|
Breast |
|
|
|
Musculoskeletal |
- Arthralgia (joint)
- Bone pain
- Myalgia (muscle)
- Muscle soreness: Acute / Delayed onset
|
|
Neurologic |
- Congenital insensitivity to pain
- HSAN
- Type I
- II congenital sensory neuropathy
- III familial dysautonomia
- IV congenital insensitivity to pain with anhidrosis
- V congenital insensitivity to pain with partial anhidrosis
- Neuralgia
- Pain asymbolia
- Pain disorder
- Paroxysmal extreme pain disorder
- Allodynia
- Chronic pain
- Hyperalgesia
- Hypoalgesia
- Hyperpathia
- Phantom pain
- Referred pain
|
|
Abdominal pain |
Urogenital |
- Dysuria
- Pelvic pain
- Dyspareunia
- Testicular pain
|
|
Gastrointestinal |
|
|
|
Back |
|
|
|
Tests |
- Cold pressor test
- Dolorimeter
- Hot plate test
- Tail flick test
|
|
Related concepts |
- Anterolateral system
- Pain management
- Pain scale
- Pain threshold
- Pain tolerance
- Posteromarginal nucleus
- Substance P
- Suffering
- OPQRST
- Philosophy of pain
- Cancer pain
- Drug-seeking behavior
|
|
|
anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
|
noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
|
proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
|
|
|
anat (h / r / t / c / b / l / s / a)
- phys (r)
- devp
- prot
- nttm (nttr)
- ntrp
|
- noco / auto / cong / tumr
- sysi / epon
- injr
|
|
|
|
|
UpToDate Contents
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English Journal
- Diagnostic criteria for temporomandibular disorders: self-instruction or formal training and calibration?
- Vilanova LS1, Garcia RC, List T, Alstergren P.
- The journal of headache and pain.J Headache Pain.2015 Dec;16:505. doi: 10.1186/s10194-015-0505-9. Epub 2015 Mar 25.
- BACKGROUND: To investigate the difference in diagnostic reliability between self-instructed examiners and examiners taught in a Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) course and if the reliability of self-instructed examiners improves after the course.METHODS: Six examiners wer
- PMID 25916330
- First report of autochthonous transmission of Zika virus in Brazil.
- Zanluca C1, Melo VC2, Mosimann AL1, Santos GI2, Santos CN1, Luz K3.
- Memorias do Instituto Oswaldo Cruz.Mem Inst Oswaldo Cruz.2015 09/06;110(4):569-572. Epub 2015 Jun 9.
- In the early 2015, several cases of patients presenting symptoms of mild fever, rash, conjunctivitis and arthralgia were reported in the northeastern Brazil. Although all patients lived in a dengue endemic area, molecular and serological diagnosis for dengue resulted negative. Chikungunya virus infe
- PMID 26061233
- Risk factors for subclinical inflammation in children with Familial Mediterranean fever.
- Bayram MT1, Çankaya T, Bora E, Kavukçu S, Ülgenalp A, Soylu A, Türkmen M.
- Rheumatology international.Rheumatol Int.2015 Aug;35(8):1393-8. doi: 10.1007/s00296-015-3227-z. Epub 2015 Feb 11.
- Familial Mediterranean fever (FMF) is the most common autosomal recessive inherited inflammatory disease characterized by attacks of painful inflammation. Some patients with FMF have subclinical inflammation persisting between the attacks. We aimed to identify the demographic, clinical and genetic r
- PMID 25669438
Japanese Journal
- 耳鼻咽喉科と連携して診るめまいの心身相関と病態(シンポジウム:めまいに対する心身医学的アプローチ,2013年,第54回日本心身医学会総会ならびに学術講演会(横浜))
- 村上 正人
- 心身医学 54(8), 767-773, 2014-08-01
- めまい,ふらつきなどの耳鼻咽喉科領域の疾患は情動的要因や心理的ストレス状態が関与することが多い.これらの患者はしばしば耳鳴,聴力障害,舌痛,顎関節痛,咽喉頭異常感,味覚異常,発声障害などの症状も有しており,腫瘍,炎症,アレルギー・免疫機序などの器質的異常のみでは説明困難で,原因不明とされることも多い.これらの症状の診断と治療のためには心療内科と耳鼻咽喉科が連携して身体的・生理的要因と心理社会的スト …
- NAID 110009838968
- 専門医部会 患者の言葉・身体所見を読み解く 関節痛 : 臨床経過から診断を考える
- Cyclooxygenase-2(COX-2)選択的阻害薬Celecoxibによる薬物性肝障害の1例
- 谷口 英明,藤田 拓,柴垣 広太郎 [他],久代 昌彦,谷 悠真,小林 計太
- 肝臓 55(9), 537-543, 2014
- 症例は49歳,女性.全身性エリテマトーデスにて通院中であったが,著明な肝機能異常(AST 1935 IU/l, ALT 1329 IU/l, ALP 553 IU/l)のため入院となった.入院の17日前より関節痛に対しCelecoxib 100 mg/日を内服していた.Celecoxibを中止し経過観察したところ,入院時に認めた高度の肝機能異常は速やかに改善し,その後再燃することなく安定している. …
- NAID 130004695966
Related Links
- arthralgiaとは。意味や和訳。[名][U]《病理学》関節痛. - goo辞書は国語、英和、和英、中国語、百科事典等からまとめて探せる辞書検索サービスです。 ... 辞書すべて 国語 類語 英和 和英 中日 日中 ※「説明文に含む」「見出し語 ...
- arthralgia / ɑrˈθræl dʒə / Show Spelled [ahr-thral-j uh] Show IPA noun Pathology. pain in a joint. Origin: 1840–50; arthr-+ -algia Related forms arthralgic, adjective Dictionary.com Unabridged Based on the Random House ...
Related Pictures
★リンクテーブル★
[★]
- 英
- arthralgia, arthralgia, joint pain
- 関
- 下肢痛
[★]
- 関
- arthralgia、polyarthralgia
[★]
- 関
- arthralgia、joint pain