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Polyarticular Arthritis

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Polyarticular Arthritis, Polyarticular Joint Pain, Polyarthritis, Pauciarticular Arthritis, Oligoarticular Arthritis, Migratory Arthritis, Migratory polyarthritis, Oligoarticular, Oligoarthritis, Pauciarticular, Polyarticular

  • See Also
  1. Joint Pain
  2. Monoarticular Arthritis
  3. Fever in Rheumatic Disease
  4. Viral Causes of Arthritis
  5. Cutaneous Signs of Rheumatic Disease
  6. Enteropathic Arthritis
  7. Ocular Manifestations of Rheumatologic Disease
  8. Rheumatologic Conditions affecting the Foot
  9. Rheumatologic Conditions affecting the Hand
  10. Rheumatologic Conditions affecting the Hip
  11. Rheumatologic Conditions affecting the Knee
  12. Rheumatologic Conditions affecting the Low Back
  13. Rheumatologic Conditions affecting the Wrist
  14. XRay Changes in Rheumatic Conditions
  15. Septic Joint
  16. Joint Pain in Children
  • Causes
  • Pauciarticular (Oligoarticular) (2-4 joints)
  1. Spondyloarthropathy (especially sacroiliac)
  2. Sarcoidosis (especially ankle)
  3. Rheumatoid Arthritis
  4. Psoriatic Arthritis
  5. Gonococcal Arthritis
  • Causes
  • Polyarticular (Common)
  1. Large joints
    1. Ankylosing Spondylitis
  2. Small joints
    1. Parvovirus B19
    2. Systemic Lupus Erythematosus
  3. Large and small joints
    1. Osteoarthritis
    2. Rheumatoid Arthritis
    3. Psoriatic Arthritis
  1. Viral Infection
    1. Parvovirus B19
    2. Epstein-Barr Virus
    3. Varicella Zoster
    4. Enterovirus, Adenovirus or Coxsackievirus
    5. Hepatitis B Virus
    6. Human Immunodeficiency Virus (HIV)
    7. Mumps
    8. Rubella
  2. Bacterial Infection
    1. Gonococcal Arthritis
    2. Bacterial Endocarditis
    3. Rheumatic Fever
    4. Whipple's Disease
    5. Salmonella, Shigella or Yersinia Infection
    6. Staphylococcus aureus
    7. Tuberculosis
    8. Lyme Disease
    9. Syphilis
  3. Systemic conditions
    1. Rheumatoid Arthritis
    2. Osteoarthritis
    3. Fibromyalgia
    4. Systemic Lupus Erythematosus
    5. Polymyositis
    6. Polymyalgia Rheumatica
    7. Sarcoidosis
    8. Scleroderma
    9. Sjogren's Syndrome
    10. Behcet's Syndrome
    11. Henoch-Schonlein Purpura
    12. Polyarteritis Nodosa
    13. Granulomatosis with Polyangiitis (previously known as Wegener's Granulomatosis)
    14. Hyperthyroidism
    15. Hypothyroidism
    16. Hyperparathyroidism
  4. Miscellaneous
    1. Cancer (Multiple Myeloma, Metastatic Cancer)
    2. Crystal-induced (e.g. Gout, Pseudogout)
    3. Ankylosing Spondylitis
    4. Psoriatic Arthritis
    5. Inflammatory Bowel Disease
    6. Reiter's Syndrome
  • Causes
  • Migratory Arthritis
  1. Gonococcal Arthritis
  2. Rheumatic Fever
  3. Sarcoidosis
  4. Systemic Lupus Erythematosus
  5. Lyme Disease
  6. Bacterial Endocarditis
  7. Whipple's Disease
  • Causes
  • By Symmetry
  1. Symmetric Polyarthritis
    1. Rheumatoid Arthritis
    2. Systemic Lupus Erythematosus
    3. Psoriatic Arthritis
    4. Osteoarthritis
    5. Scleroderma
    6. Lyme Disease
    7. Rheumatic Fever
    8. Gouty Arthritis
    9. Pseudogout
    10. Liver Disease
  2. Asymmetric Polyarthritis
    1. Spondyloarthropathy (HLA-B27 Disease)
      1. Psoriatic Arthritis
      2. Ankylosing Spondylitis
      3. Reactive Arthritis
      4. Inflammatory Bowel Disease
    2. Gouty Arthritis
    3. Pseudogout
    4. Lyme Disease
    5. Viral Arthritis
  • Evaluation
  1. See Joint Pain for History, Exam, Labs and Imaging
  • References
  1. Klinkhoff (2000) CMAJ 162:1833-8 [PubMed]
  2. Pujalte (2015) Am Fam Physician 92(1):35-41 [PubMed]
  3. Richie (2003) Am Fam Physician 68(6):1151-60 [PubMed]