What is non-erosive osteoarthritis?

Dr Elbogdadi. By Daniel El-Bogdadi, MD, FACR. Osteoarthritis typically is thought of as a degenerative arthritis in which the joint space is gradually lost with little or no associated inflammation and erosions (loss of bone in the joint space).

What is the difference between osteoarthritis and erosive arthritis?

Compared with typical hand osteoarthritis (OA), this condition is more disabling and causes more severe joint pain and stiffness. Erosive OA is characterized by severe joint inflammation and bone breakdown, leading to characteristic X-ray findings, but it can also take longer to diagnose than typical OA.

Is erosive osteoarthritis an autoimmune disease?

Erosive osteoarthritis doesn’t share those obvious origins. Researchers believe hormones may be involved because women are affected more often than men. Another possibility is an autoimmune condition.

What is erosive and non-erosive arthritis?

Erosive osteoarthritis exhibits a combination of degenerative cartilage changes as well as a rheumatoid arthritis-like proliferative synovitis 7. Erosive osteoarthritis is a subset of non-erosive OA, rather than a disease in its own right 8,9.

Is erosive osteoarthritis progressive?

Erosive osteoarthritis (EOA) is a progressive disease affecting the interphalangeal joints of the hand. It is also known as an inflammatory form of osteoarthritis. Pain, swelling, redness, warmth and limited function of the hand joints are commonly found in most patients with or without Heberden and Bouchard’s nodes.

Is OA an autoimmune disease?

Osteoarthritis is not an autoimmune disease, and although the exact causes are not known, multiple risk factors have been identified. In a healthy joint, cartilage provides cushioning and a smooth joint surface for motion.

Is osteoarthritis an autoimmune disease?

Can osteoarthritis cause bone erosion?

Fact: Osteoarthritis does not cause bone erosion. Osteoarthritis does not cause bone loss or fractures. On the contrary, it is associated with increased bone density and abnormal growths (osteophytes) due to the deficiency in bone resorption.

How do you treat bone erosion?

Early intervention with antirheumatic therapy is the most efficacious strategy for the prevention of bone erosions. Standard small-molecule antirheumatic drugs for RA, such as glucocorticoids, methotrexate and leflunomide, seem to have bone-sparing effects simply based on their ability to effectively reduce synovitis.

What does joint erosion feel like?

Talk to your doctor about symptoms like joint pain and stiffness, redness, chronic fatigue, weight loss, or a low-grade fever. There’s also an association between bone erosion and low bone mineral density.

Will losing weight help my osteoarthritis?

“Maintaining an ideal body weight is important, and if overweight, losing as little as 10 pounds can decrease the progression of your knee osteoarthritis by 50 percent, according to a published study,” says rheumatologist Elaine Husni, MD, MPH, director of Cleveland Clinic’s Arthritis and Musculoskeletal Treatment …

What is the root cause of osteoarthritis?

What causes osteoarthritis? Primary osteoarthritis is caused by the breakdown of cartilage, a rubbery material that eases the friction in your joints. It can happen in any joint but usually affects your fingers, thumbs, spine, hips, knees, or big toes. Osteoarthritis is more common in older people.

What kind of osteoarthritis does the erosive hand have?

In addition, erosive hand OA affects primarily bilateral DIP and PIP joints, but hand OA tends most often to affect the carpometacarpal joint of the thumb. Erosive hand OA is thus defined radiographically by subchondral erosion, cortical destruction and subsequent reparative change, which may include bony ankylosis.

Are there any clinical trials for erosive hand OA?

Moreover, even though erosive hand OA is an area of active research, the pathophysiology remains murky, and clinical trials for patients with erosive hand OA remain few and far between. This continuous redefinition of the disease hampers patient recruitment for potential clinical trials.

Is there a link between diabetes and erosive osteoarthritis?

It has been suggested that diabetes mellitus and widespread pain in osteoarthritis sufferers should be the subject of more investigation. Treatment of erosive osteoarthritis can be tricky because there is no known cause.

Who is the rheumatologist for erosive osteoarthritis?

David Ozeri, MD, is a board-certified rheumatologist. He is based in Tel Aviv, Israel, where he does research at Sheba Medical Center. Previously, he practiced at New York-Presbyterian Hospital. Erosive osteoarthritis is an uncommon type of hand osteoarthritis.