
It is a chronic inflammatory condition affecting the joints mainly besides other systems as well. The condition may come and go spontaneously but if it continues it leads to joint damage and disability. It affects joints, muscles, lungs, heart, nerves, immune system, blood, eyes.
Cause
- Not clearly understood but it is related to immune system.
- Probably the bodies immune system start reacting against the body itself.
- Familial or hereditary tendency is prominent with females in the age group of 20-40 years getting more affected than males .
- Mental stress can be a precipitating factor.

Symptoms
- Initially the joint affected are mainly smaller joints.
- Involvement is mostly symmetrical (same joints on both sides of body) Joint pain with swelling and stiffness, especially in the morning on waking.
- General fatigue, malaise, loss of appetite, depression may be associated symptoms.
- Later on there develops reduced movement of joints, joint tenderness & deformity.
- Other symptoms depend on systems involved.
- Lung- Breathlessness, restricted breathing.
- Blood- Anaemia.
- Eyes -redness, watering.
- Muscles-pain.
- Nerves-Numbness of hands.