A hand is a prehensile, multi-fingered organ located at the end of the forearm or forelimb of primates such as humans, chimpanzees, monkeys, and lemurs.It is often brought on by athletics. Read medical definition of Transverse. Transverse: In anatomy, a horizontal plane passing through the standing body so that the transverse plane is parallel to the. Major Joints of the Human Body. Major joints of the human body will be discuses in this article and I will describe the bones and muscles involved in each joint. Muscles are responsible for locomotion. Itchy Face and Facial Rash – Causes, Treatment, Pictures. Facial Itching. Itching of the face is a common symptom that every person experience, often on a frequent basis. In most case it is a mild it that is quickly relieved with rubbing or scratching. ![]() The face is the most exposed part of the body as it is almost never covered. It is constantly bombarded by the environment through dust, dirt, microbes, wind, heat, cold and other irritants. These are easily removed with washing. Sometimes the skin is very sensitive and even a mild irritant, that may not irritate every person, can cause itching. It may be associated with allergies or even skin diseases. An itchy face usually does not need any specific medical treatment unless it becomes persistent and is associated with a skin rash or other symptoms that indicates a problem. Causes of Itchy Face. Psychological Causes. Facial itching is at times imagined or associated with nervous behavior. Sometimes a person may not experience any itching yet scratch the face regularly. Apart from a nervous disposition, itching is also at times a sign of being untruthful as are many other nervous tics. Treatment may involve counseling or the use of anti- anxiety or antidepressant medication. In most cases though, no specific treatment is needed. Unwashed Face. Dirt, dust and microbes are constantly making contact with the face. These contaminants if not removed can irritate the skin. An unwashed face tends to be itchy. It men this may sometimes be associated with facial hair which tends to trap and hold contaminants. Treatment involves good hygiene by regularly washing the face. Dry Skin. Dry skin is a very common cause of an itchy face, second only to poor hygiene. It can occur at any time in the year but is more common in winter. Seasonal dryness and itching is therefore often referred to as the winter itch. However, the constant exposure to air conditioned environments particularly in settings like the workplace can dry out the skin. Facial itching due to climatic conditions is also more likely to occur in windy environments. Dryness of the skin leading to itching may also occur with : Excessive washing of the face, particularly with hot water and harsh soaps can also dry off your facial skin. Most soaps, particularly heavily scented varieties, and facial washes dry out the skin on the face. Alcohol based products, like men’s aftershave and antiseptic soaps, are known to cause excessive dryness. Acne products also tend to dry out the skin as part of its chemical action to combat pimples. Sun exposure, which does cause additional oil secretion and sweating, eventually has a harsh drying effect on the skin. Treatment would involve proper moisturizing of the skin, avoiding any conditions or products that dry the skin and using sunscreen for adequate protection. Allergies. An allergy, or hypersensitivity, may be a result of allergic skin diseases or irritants to the face in a person who otherwise does not have these conditions. Allergic skin diseases that are more likely to present with itching includes atopic dermatitis, allergic contact dermatitis or urticaria (hives). Pollen, pet hair, molds and dust may trigger the allergic reaction. Other irritants that may also be responsible for an allergic reaction even in the absence of skin diseases includes : Hair dyes (itchy scalp, front, eyelids, neck, and often marked facial swelling)Shampoos (itchy scalp and/or face)Cosmetics (itchy face)Food and medications (itchy lips, mouth, throat, and upper body)Head lice (itchy scalp, neck, shoulders, face)Pollens (itchy eyes and nose)Jewelry (itch and rash at the site of skin contact)Treatment may involve the use of antihistamines and corticosteroids. Severe cases associated with anaphylaxis require adrenaline (epinephrine). A more important measure, however, is to prevention by avoiding the trigger. Infections. The skin and hair follicles may become infected by a number of different microbes. Itchiness is a common symptoms in some of these conditions. The infectious causes of an itchy skin may include : Childhood viral infections often present with skin rashes that may cause itching in many cases. In chickenpox (Varicella zoster), measles(Rubeola virus), German measles (Rubella virus), or fifth disease (Parvovirus B1. These skin lesions crust over and disappear or peel off after about a week. These infections will resolve on its own with no specific treatment being necessary. Treatment may involve the use of anti- inflammatory drugs like acetaminophen to reduce any inflammation and various types of skin applications like calamine lotion, urea creams or just plain emollients. Picture 1. Herpes zoster (Sourced from Dermatology Atlas, Samuel Freire da Silva, M. D. atlasdermatologico)Herpes simplex infection usually appears as a group of small, translucent, burning blisters around the mouth (cold sore). Severe infection may be treated with antiviral drugs (acyclovir). Herpes zosterinfection (shingles) may present with a chronic burning or itchy rash which tends to follow the course of the trigeminal nerve branches. It is usually only on one side of the face. Treatment is with oral acyclovir. Dengue fever is a self- limiting viral disease with fever, itchy rash and small bleedings on the skin. It is transmitted from human to human by mosquitoes. It appears worldwide, except in Europe and Antarctica. Tinea barbae is a fungal infection of the bearded area in men. It can be passed from person to person but may also be contracted from animals. It is caused by a number of Trichophyton and Microsporum species of fungi, some of which naturally reside on human skin. A tinea infection of the skin of the face is known as tinea faciei. Treatment is with anti- fungal drugs applied on the skin (topical) or ingested (oral). Skin Diseases. A number of skin disease may present with itching of the face. These skin diseases also present with a skin rash in most cases and other symptoms that allow it to be differentiated from less obvious causes. Excessive scratching in these cases often leads to permanent discoloration of the skin. Ask a Doctor Online Now! Picture 2. Seborrheic dermatitis. Picture 3. Systemic lupus erythematosus. Picture 4. Melanoma on the cheek(source: Samuel Freire da Silva, M. D. Dermatology Atlas)Acne vulgaris is the common type of acne seen more often in teens. It is associated with excessive oil (sebum) production, blockage of the pores with blackheads and whiteheads and bacterial infections of the skin. Pimples, or zits, may be painful and the skin may be painful even without pimples in the area. Acne does not always cause skin itching. Treatment depends on the severity of the condition. Mild causes can be treated with over- the- counter (OTC) soaps, face washes and other drying and antibacterial agents. For more severe cases, treatment may involve oral contraceptives (females), antibiotics and isotretinoin. Acne rosacea, just referred to as rosacea these days, is a skin condition marked with severe redness due to widespread inflammation. It is often worsened with sunlight exposure. Treatment is with antibiotics, isotretionin and anti- inflammatory drugs. Pseudofolliculitis barbae (ingrown hair, razor bumps) is an inflammation of the hair follicle after shaving, and not an infection. It mostly occurs in men with curly hair. Prevention is by avoiding shaving hair close to the skin. Lotion with glycolic acid may be used at night to prevent inflammation. In resistant cases, antibiotics or laser hair removal may be tried. Cholinergic urticaria (heat rash). Irritant contact dermatitis may occur with contact to any number of substances like cosmetics, sunscreens and even aftershaves. Saliva may also cause skin irritation, and this is more common in children. Atopic dermatitis (eczema) appears mostly in children with asthma or other allergies. It runs in families. Rash may appear on the face or anywhere on the body, often on the limbs. Treatment is by avoiding triggering substances, moisturizing creams and corticosteroid ointments. Seborrheic dermatitisis an inflammation of the skin with greasy, yellowish, scaly clusters of shed skin cells appear on the scalp, behind the ears, the armpits and groin. It may be associated with skin fungi but is not a fungal infection. Treatment involves zinc, selenium, sulfur, salicylic acid or tar shampoos and ointment. Other Causes. Insect bites can occur on any site on the body and the face is more commonly attacked by mosquitoes and other airborne insets. There may be an allergic reaction, infection or localized skin irritation following a bite. Severe allergic reactions like anaphylaxis need to be treated with adrenaline. A combination of antihistamines with antiseptic, urea and calamine lotions may be sufficient for treatment. Systemic lupus erythematosus (SLE). A red skin patch in the form of a “butterfly rash” extends over the nose and cheeks. The joints and vessels are often affected. Treatment is with steroid ointments and various other medications. Rash also often appears in other rheumatic diseases, like rheumatoid arthritis, polyarteritis nodosa, temporal arteritis. Dermatomyositisis a rare inflammatory muscle disease with skin rash. Violaceus rash and swelling around the eyes, on the back of the fingers and elbows or knees is characteristic. Melanoma is highly malignant, fast growing, dark pigmented (brown, black or bluish) tumor, from few millimeters to few centimeters in size. It usually grows in the level of the skin, or appears as a raised tumor. Treatment is with a surgical removal. Squamous cell carcinoma and basal cell carcinoma usually appear as a crust like tumor on the face, eyelids, ears, lips, or scalp. Treatment may involve surgery or radiotherapy. Treatment of Itchy Face. The treatment of facial itching is largely dependent on the cause and individual treatments have been discussed above. History, Physical Examination, Stiffness, Tenderness, and Pain on Motion. Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 6. Rheumatoid arthritis disease activity measures: American College of Rheumatology Recommendations for use in clinical practice. Arthritis Care Res (Hoboken). American College of Rheumatology/European League Against Rheumatism provisional definition of remission in rheumatoid arthritis for clinical trials. Arthritis Rheum. 6. American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis. Arthritis Care and Research. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease- modifying antirheumatic drugs: 2. Ann Rheum Dis. 7. Agency for Healthcare Research and Quality. Choosing Medications for Rheumatoid Arthritis. Rheumatoid arthritis: Updated recommendations released. Medscape Medical News. Available at http: //www. May 2. 8, 2. 01. 5; Accessed: June 3. Treating rheumatoid arthritis to target: 2. Ann Rheum Dis. 2. May 1. 2. Smoking, use of moist snuff, and risk of chronic inflammatory diseases. Am J Respir Crit Care Med. Barton A, Worthington J. Genetic susceptibility to rheumatoid arthritis: an emerging picture. Arthritis Rheum. 2. Oct 1. 5. 6. 1(1. Begovich AB, Carlton VE, Honigberg LA, et al. A missense single- nucleotide polymorphism in a gene encoding a protein tyrosine phosphatase (PTPN2. Am J Hum Genet. 7. Potter C, Eyre S, Cope A, Worthington J, Barton A. Investigation of association between the TRAF family genes and RA susceptibility. Ann Rheum Dis. 6. Prakken B, Albani S, Martini A. Juvenile idiopathic arthritis. Hinks A, Ke X, Barton A, Eyre S, Bowes J, Worthington J. Association of the IL2. RA/CD2. 5 gene with juvenile idiopathic arthritis. Arthritis Rheum. 6. Ahlmen M, Svensson B, Albertsson K, Forslind K, Hafstrom I. Influence of gender on assessments of disease activity and function in early rheumatoid arthritis in relation to radiographic joint damage. Ann Rheum Dis. 6. Areskoug- Josefsson K, Oberg U. A literature review of the sexual health of women with rheumatoid arthritis. Musculoskeletal Care. Martin- Trujillo A, van Rietschoten JG, Timmer TC, et al. Loss of imprinting of IGF2 characterises high IGF2 m. RNA- expressing type of fibroblast- like synoviocytes in rheumatoid arthritis. Ann Rheum Dis. 6. Zhou X, Chen W, Swartz MD, et al. Joint linkage and imprinting analyses of GAW1. Suppl 1: S5. 3. Genomic imprinting: a mammalian epigenetic discovery model. Annu Rev Genet. Hitchon CA, Chandad F, Ferucci ED, et al. Antibodies to porphyromonas gingivalis are associated with anticitrullinated protein antibodies in patients with rheumatoid arthritis and their relatives. J Rheumatol. 3. 7(6): 1. Routsias JG, Goules JD, Goules A, Charalampakis G, Pikazis D. Autopathogenic correlation of periodontitis and rheumatoid arthritis. Rheumatology (Oxford). Barrett JH, Brennan P, Fiddler M, Silman AJ. Does rheumatoid arthritis remit during pregnancy and relapse postpartum? Results from a nationwide study in the United Kingdom performed prospectively from late pregnancy. Arthritis Rheum. 4. Jorgensen KT, Pedersen BV, Jacobsen S, Biggar RJ, Frisch M. National cohort study of reproductive risk factors for rheumatoid arthritis in Denmark: a role for hyperemesis, gestational hypertension and pre- eclampsia? Ann Rheum Dis. 6. Guthrie KA, Dugowson CE, Voigt LF, Koepsell TD, Nelson JL. Does pregnancy provide vaccine- like protection against rheumatoid arthritis? Arthritis Rheum. 6. Rheumatoid Arthritis. In: Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J, Eds. Harrison's Principles of Internal Medicine. New York, NY: Mc. Graw- Hill Education; 2. Gremese E, Salaffi F, Bosello SL, et al. Very early rheumatoid arthritis as a predictor of remission: a multicentre real life prospective study. Ann Rheum Dis. 7. Weinblatt ME, Keystone EC, Cohen MD, et al. Factors associated with radiographic progression in patients with rheumatoid arthritis who were treated with methotrexate. J Rheumatol. 3. 8(2): 2. Agrawal S, Misra R, Aggarwal A. Autoantibodies in rheumatoid arthritis: association with severity of disease in established RA. Clin Rheumatol. 2. Vencovsky J, Machacek S, Sedova L, et al. Autoantibodies can be prognostic markers of an erosive disease in early rheumatoid arthritis. Ann Rheum Dis. 6. Sokka T, Kautiainen H, Mottonen T, Hannonen P. Work disability in rheumatoid arthritis 1. J Rheumatol. 2. 6(8): 1. Lindhardsen J, Ahlehoff O, Gislason GH, et al. Risk of atrial fibrillation and stroke in rheumatoid arthritis: Danish nationwide cohort study. Psycho- educational interventions in the treatment of arthritis. Baillieres Clin Rheumatol. Tucker M, Kirwan JR. Does patient education in rheumatoid arthritis have therapeutic potential? Ann Rheum Dis. 5. Practical aspects of therapeutic intervention in rheumatoid arthritis. J Rheumatol Suppl. Komano Y, Harigai M, Koike R, Sugiyama H, Ogawa J, Saito K. Pneumocystis jiroveci pneumonia in patients with rheumatoid arthritis treated with infliximab: a retrospective review and case- control study of 2. Arthritis Rheum. 2. Mar 1. 5. 6. 1(3): 3. Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd. American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis. 6. Radner H, Neogi T, Smolen JS, Aletaha D. Performance of the 2. ACR/EULAR classification criteria for rheumatoid arthritis: a systematic literature review. Ann Rheum Dis. 7. Katchamart W, Johnson S, Lin HJ, Phumethum V, Salliot C, Bombardier C. Predictors for remission in rheumatoid arthritis patients: A systematic review. Arthritis Care Res (Hoboken). Varache S, Narbonne V, Jousse- Joulin S, et al. Is routine viral screening useful in patients with recent- onset polyarthritis of a duration of at least 6 weeks? Results from a nationwide longitudinal prospective cohort study. Arthritis Care Res (Hoboken). Aletaha D, Alasti F, Smolen JS. Rheumatoid factor determines structural progression of rheumatoid arthritis dependent and independent of disease activity. Ann Rheum Dis. Jul 1. Scott IC, Steer S, Lewis CM, Cope AP. Precipitating and perpetuating factors of rheumatoid arthritis immunopathology: linking the triad of genetic predisposition, environmental risk factors and autoimmunity to disease pathogenesis. Best Pract Res Clin Rheumatol. Daha NA, Toes RE. Rheumatoid arthritis: Are ACPA- positive and ACPA- negative RA the same disease? Nat Rev Rheumatol. Anti- CCP antibodies: the past, the present and the future. Nat Rev Rheumatol. Mjaavatten MD, van der Heijde DM, Uhlig T, et al. Should Anti- citrullinated Protein Antibody and Rheumatoid Factor Status Be Reassessed During the First Year of Followup in Recent- Onset Arthritis? A Longitudinal Study. J Rheumatol. 3. 8(1. Bang H, Egerer K, Gauliard A, et al. Mutation and citrullination modifies vimentin to a novel autoantigen for rheumatoid arthritis. Arthritis Rheum. 5. Coenen D, Verschueren P, Westhovens R, Bossuyt X. Technical and diagnostic performance of 6 assays for the measurement of citrullinated protein/peptide antibodies in the diagnosis of rheumatoid arthritis. Soos L, Szekanecz Z, Szabo Z, et al. Clinical evaluation of anti- mutated citrullinated vimentin by ELISA in rheumatoid arthritis. J Rheumatol. 3. 4(8): 1. Szekanecz Z, Soos L, Szabo Z, et al. Anti- citrullinated protein antibodies in rheumatoid arthritis: as good as it gets? Clin Rev Allergy Immunol. Novel biomarkers improve diagnosis in early RA. Medscape Medical News. June 2. 0, 2. 01. New autoantibodies as biomarkers for early and seronegative rheumatoid arthritis . Presented at: EULAR 2. Annual Congress of the European League Against Rheumatism; Madrid, Spain; June 1. Ann Rheum Dis. 7. Radiographic imaging: the . Rheumatology (Oxford). Tan YK, Conaghan PG. Imaging in rheumatoid arthritis. Best Pract Res Clin Rheumatol. Wells AF, Haddad RH. Emerging role of ultrasonography in rheumatoid arthritis: optimizing diagnosis, measuring disease activity and identifying prognostic factors. Ultrasound Med Biol. Bruno MA, Wakefield RJ. Chapter 5: Ultrasound of Rheumatoid Arthritis. Bruno MA, Mosher TJ, Gold GE. Arthritis in Color: Advanced Imaging of Arthritis. Philadelphia, PA: Saunders- Elsevier; 2. Cheung PP, Dougados M, Gossec L. Reliability of ultrasonography to detect synovitis in rheumatoid arthritis: a systematic literature review of 3. Arthritis Care Res (Hoboken). Fiocco U, Ferro F, Vezzu M, et al. Rheumatoid and psoriatic knee synovitis: clinical, grey scale, and power Doppler ultrasound assessment of the response to etanercept. Ann Rheum Dis. 6. Role of magnetic resonance imaging in the diagnosis and prognosis of rheumatoid arthritis. Arthritis Care Res (Hoboken). Doppler ultrasonography and dynamic magnetic resonance imaging for assessment of synovitis in the hand and wrist of patients with rheumatoid arthritis. Semin Musculoskelet Radiol. Fukae J, Kon Y, Henmi M, Sakamoto F, Narita A, Shimizu M. Change of synovial vascularity in a single finger joint assessed by power doppler sonography correlated with radiographic change in rheumatoid arthritis: comparative study of a novel quantitative score with a semiquantitative score. Arthritis Care Res (Hoboken). Zayat AS, Conaghan PG, Sharif M, et al. Do non- steroidal anti- inflammatory drugs have a significant effect on detection and grading of ultrasound- detected synovitis in patients with rheumatoid arthritis? Results from a randomised study. Ann Rheum Dis. 7. Kelleher MO, Mc. Evoy L, Yang JP, Kamel MH, Bolger C. Lateral mass screw fixation of complex spine cases: a prospective clinical study. Br J Neurosurg. 2. Cakir B, Kafer W, Reichel H, Schmidt R. Diagnostics and indication. Narvaez JA, Narvaez J, Serrallonga M, et al. Cervical spine involvement in rheumatoid arthritis: correlation between neurological manifestations and magnetic resonance imaging findings. Rheumatology (Oxford).
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