Skip to main content

Arthritiden – Begutachtung

  • Living reference work entry
  • First Online:
Die Ärztliche Begutachtung

Part of the book series: Springer Reference Medizin ((SRM))

  • 30 Accesses

Zusammenfassung

Eine Entzündung in einem Gelenk bezeichnet man als Arthritis. Ein Großteil der rheumatologischen Patienten leiden an einer Arthritis und stellen somit die am häufigste Entität an rheumatologischen Diagnosen dar. Die häufigste chronische Arthritis-Form ist die Rheumatoide Arthritis. Aber nicht nur Gelenke sondern auch gelenknahe Strukturen oder extraartikuläre Manifestationen sind bei vielen Arthritisformen zu finden.

Neben den chronisch entzündlichen Arthritiden, die häufig schleichend beginnen, können auch akute Arthritiden wie die reaktive Arthritis oder die Gicht-Arthritis auftreten.

Dank der stetigen Forschung und somit eines besseren Verständnisses der Pathogenese haben sich multiple Therapieoptionen etabliert und heute sind meist alle Arthritiden gut behandelbar.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Similar content being viewed by others

Literatur

  • Aletaha D, Smolen JS (2018) Diagnosis and management of rheumatoid arthritis: a review. JAMA 320(13):1360–1372

    Article  Google Scholar 

  • Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd, Birnbaum NS, Burmester GR, Bykerk VP, Cohen MD, Combe B, Costenbader KH, Dougados M, Emery P, Ferraccioli G, Hazes JM, Hobbs K, Huizinga TW, Kavanaugh A, Kay J, Kvien TK, Laing T, Mease P, Ménard HA, Moreland LW, Naden RL, Pincus T, Smolen JS, Stanislawska-Biernat E, Symmons D, Tak PP, Upchurch KS, Vencovský J, Wolfe F, Hawker G (2010) 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European league against rheumatism collaborative initiative. Arthritis Rheum 62(9):2569–2581

    Article  Google Scholar 

  • Antony A, Tillett W (2021) Diagnosis, classification, and assessment in psoriatic arthritis. Best Pract Res Clin Rheumatol 35(2):101669

    Article  Google Scholar 

  • Ashrafi M, Kuhn KA, Weisman MH (2021) The arthritis connection to inflammatory bowel disease (IBD): why has it taken so long to understand it? RMD Open 7(1):e001558

    Article  Google Scholar 

  • Braun J, van den Berg R, Baraliakos X, Boehm H, Burgos-Vargas R, Collantes-Estevez E, Dagfinrud H, Dijkmans B, Dougados M, Emery P, Geher P, Hammoudeh M, Inman RD, Jongkees M, Khan MA, Kiltz U, Kvien T, Leirisalo-Repo M, Maksymowych WP, Olivieri I, Pavelka K, Sieper J, Stanislawska-Biernat E, Wendling D, Ozgocmen S, van Drogen C, van Royen B, van der Heijde D (2011) 2010 update of the ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis 70(6):896–904

    Article  CAS  Google Scholar 

  • Braun J, Baraliakos X, Buehring B, Kiltz U, Fruth M (2018) Imaging of axial spondyloarthritis. New aspects and differential diagnoses. Clin Exp Rheumatol 114(36 Suppl, 5):35–42

    Google Scholar 

  • Dadoun S, Zeboulon-Ktorza N, Combescure C, Elhai M, Rozenberg S, Gossec L, Fautrel B (2013) Mortality in rheumatoid arthritis over the last fifty years: systematic review and meta-analysis. Joint Bone Spine 80(1):29–33

    Article  Google Scholar 

  • Detert J, Bastian H, Listing J, Weiß A, Wassenberg S, Liebhaber A, Rockwitz K, Alten R, Krüger K, Rau R, Simon C, Gremmelsbacher E, Braun T, Marsmann B, Höhne-Zimmer V, Egerer K, Buttgereit F, Burmester GR (2013) Induction therapy with adalimumab plus methotrexate for 24 weeks followed by methotrexate monotherapy up to week 48 versus methotrexate therapy alone for DMARD-naive patients with early rheumatoid arthritis: HIT HARD, an investigator-initiated study. Ann Rheum Dis 72(6):844–850

    Article  CAS  Google Scholar 

  • Dougados M, Baeten D (2011) Spondyloarthritis. Lancet 377(9783):2127–2137

    Article  Google Scholar 

  • Evans PL, Prior JA, Belcher J, Mallen CD, Hay CA, Roddy E (2018) Obesity, hypertension and diuretic use as risk factors for incident gout: a systematic review and meta-analysis of cohort studies. Arthritis Res Ther 20(1):136. https://doi.org/10.1186/s13075-018-1612-1. PMID: 29976236; PMCID: PMC6034249

    Article  Google Scholar 

  • Figus FA, Piga M, Azzolin I, McConnell R, Iagnocco A (2021) Rheumatoid arthritis: extra-articular manifestations and comorbidities. Autoimmun Rev 20(4):102776

    Article  CAS  Google Scholar 

  • Fiorillo MT, Haroon N, Ciccia F, Breban M (2019) Editorial: ankylosing spondylitis and related immune-mediated disorders. Front Immunol 4(10):1232

    Article  Google Scholar 

  • FitzGerald JD, Dalbeth N, Mikuls T, Brignardello-Petersen R, Guyatt G, Abeles AM, Gelber AC, Harrold LR, Khanna D, King C, Levy G, Libbey C, Mount D, Pillinger MH, Rosenthal A, Singh JA, Sims JE, Smith BJ, Wenger NS, Bae SS, Danve A, Khanna PP, Kim SC, Lenert A, Poon S, Qasim A, Sehra ST, Sharma TSK, Toprover M, Turgunbaev M, Zeng L, Zhang MA, Turner AS, Neogi T (2020) 2020 American College of Rheumatology guideline for the management of gout. Arthritis Care Res 72(6):744–760. https://doi.org/10.1002/acr.24180. Epub 2020 May 11. Erratum in: Arthritis Care Res. 2020;72(8):1187. Erratum in: Arthritis Care Res. 2021;73(3):458. PMID: 32391934

    Article  Google Scholar 

  • Foster HE, Minden K, Clemente D, Leon L, McDonagh JE, Kamphuis S, Berggren K, van Pelt P, Wouters C, Waite-Jones J, Tattersall R, Wyllie R, Stones SR, Martini A, Constantin T, Schalm S, Fidanci B, Erer B, Demirkaya E, Ozen S, Carmona L (2017) EULAR/PReS standards and recommendations for the transitional care of young people with juvenile-onset rheumatic diseases. Ann Rheum Dis 76(4):639–646. https://doi.org/10.1136/annrheumdis-2016-210112. Epub 2016 Nov 1. Erratum in: Ann Rheum Dis. 2018;77(6):960. PMID: 27802961

    Article  Google Scholar 

  • Fragoulis GE, Liava C, Daoussis D, Akriviadis E, Garyfallos A, Dimitroulas T (2019) Inflammatory bowel diseases and spondyloarthropathies: from pathogenesis to treatment. World J Gastroenterol 25(18):2162–2176

    Article  CAS  Google Scholar 

  • García-Kutzbach A, Chacón-Súchite J, García-Ferrer H, Iraheta I (2018) Reactive arthritis: update 2018. Clin Rheumatol 37(4):869–874

    Article  Google Scholar 

  • Gossec L, Baraliakos X, Kerschbaumer A, de Wit M, McInnes I, Dougados M, Primdahl J, McGonagle DG, Aletaha D, Balanescu A, Balint PV, Bertheussen H, Boehncke WH, Burmester GR, Canete JD, Damjanov NS, Kragstrup TW, Kvien TK, Landewé RBM, Lories RJU, Marzo-Ortega H, Poddubnyy D, Rodrigues Manica SA, Schett G, Veale DJ, Van den Bosch FE, van der Heijde D, Smolen JS (2020) EULAR recommendations for the management of psoriatic arthritis with pharmacological therapies: 2019 update. Ann Rheum Dis 79(6):700–712

    Article  Google Scholar 

  • Haas JP, Metzler M, Frank C, Haefner R, Wassmuth R (2009) HLA-DQA1 gene expression profiling in oligoarticular JIA. Autoimmunity 42(4):389–391

    Article  CAS  Google Scholar 

  • Hinze CH, Holzinger D, Lainka E, Haas JP, Speth F, Kallinich T, Rieber N, Hufnagel M, Jansson AF, Hedrich C, Winowski H, Berger T, Foeldvari I, Ganser G, Hospach A, Huppertz HI, Mönkemöller K, Neudorf U, Weißbarth-Riedel E, Wittkowski H, Horneff G, Foell D, PRO-KIND SJIA project collaborators (2018) Practice and consensus-based strategies in diagnosing and managing systemic juvenile idiopathic arthritis in Germany. Pediatr Rheumatol Online J 16(1):7. https://doi.org/10.1186/s12969-018-0224-2. PMID: 29357887; PMCID: PMC5778670

    Article  Google Scholar 

  • Karmacharya P, Chakradhar R, Ogdie A (2021) The epidemiology of psoriatic arthritis: a literature review. Best Pract Res Clin Rheumatol 35(2):101692

    Article  Google Scholar 

  • Kerschbaumer A, Sepriano A, Smolen JS, van der Heijde D, Dougados M, van Vollenhoven R, McInnes IB, Bijlsma JWJ, Burmester GR, de Wit M, Falzon L, Landewé R (2020) Efficacy of pharmacological treatment in rheumatoid arthritis: a systematic literature research informing the 2019 update of the EULAR recommendations for management of rheumatoid arthritis. Ann Rheum Dis 79(6):744–759

    Article  CAS  Google Scholar 

  • Khaki-Khatibi F, Qujeq D, Kashifard M, Moein S, Maniati M, Vaghari-Tabari M (2020) Calprotectin in inflammatory bowel disease. Clin Chim Acta 510:556–565

    Article  CAS  Google Scholar 

  • Klingberg E, Strid H, Ståhl A, Deminger A, Carlsten H, Öhman L, Forsblad-d’Elia H (2017) A longitudinal study of fecal calprotectin and the development of inflammatory bowel disease in ankylosing spondylitis. Arthritis Res Ther 19(1):21

    Article  Google Scholar 

  • Kocyigit BF, Akyol A (2021) Reactive arthritis after COVID-19: a case-based review. Rheumatol Int 41(11):2031–2039

    Article  CAS  Google Scholar 

  • Krumrey-Langkammerer M, Häfner R (2001) Evaluation of the ILAR criteria for juvenile idiopathic arthritis. J Rheumatol 28(11):2544–2547. PMID: 11708431

    CAS  Google Scholar 

  • Martini A, Lovell DJ, Albani S, Brunner HI, Hyrich KL, Thompson SD, Ruperto N (2022) Juvenile idiopathic arthritis. Nat Rev Dis Primers 8(1):5

    Article  Google Scholar 

  • Mathew AJ, Østergaard M, Eder L (2021) Imaging in psoriatic arthritis: status and recent advances. Best Pract Res Clin Rheumatol 35(2):101690

    Article  Google Scholar 

  • Mattiuzzi C, Lippi G (2020) Recent updates on worldwide gout epidemiology. Clin Rheumatol 39(4):1061–1063. https://doi.org/10.1007/s10067-019-04868-9. Epub 2019 Dec 13. PMID: 31836936

    Article  Google Scholar 

  • McInnes IB, Schett G (2011) The pathogenesis of rheumatoid arthritis. N Engl J Med 365(23):2205–2219

    Article  CAS  Google Scholar 

  • Metsios GS, Stavropoulos-Kalinoglou A, Kitas GD (2015) The role of exercise in the management of rheumatoid arthritis. Expert Rev Clin Immunol 11(10):1121–1130

    Article  CAS  Google Scholar 

  • Ranganath VK, Hammer HB, McQueen FM (2020) Contemporary imaging of rheumatoid arthritis: clinical role of ultrasound and MRI. Best Pract Res Clin Rheumatol 34(6):101593

    Article  Google Scholar 

  • Ribaldone DG, Fagoonee S, Astegiano M, De Angelis C, Smedile A, Caviglia GP, Petrini E, Greco A, Pellicano R (2015) Coxib’s safety in patients with inflammatory bowel diseases: a meta-analysis. Pain Physician 18(6):599–607

    Article  Google Scholar 

  • Richette P, Bardin T (2010) Gout Lancet 375(9711):318–328. https://doi.org/10.1016/S0140-6736(09)60883-7. Epub 2009 Aug 17. PMID: 19692116

    Article  CAS  Google Scholar 

  • Ringold S, Angeles-Han ST, Beukelman T, Lovell D, Cuello CA, Becker ML, Colbert RA, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Horonjeff J, Nigrovic PA, Ombrello MJ, Passo MH, Stoll ML, Rabinovich CE, Schneider R, Halyabar O, Hays K, Shah AA, Sullivan N, Szymanski AM, Turgunbaev M, Turner A, Reston J (2019) 2019 American College of Rheumatology/Arthritis foundation guideline for the treatment of juvenile idiopathic arthritis: therapeutic approaches for non-systemic polyarthritis, sacroiliitis, and enthesitis. Arthritis Care Res 71(6):717–734. https://doi.org/10.1002/acr.23870. Epub 2019 Apr 25. PMID: 31021516; PMCID: PMC6561125

    Article  Google Scholar 

  • Rogler G, Singh A, Kavanaugh A, Rubin DT (2021) Extraintestinal manifestations of inflammatory bowel disease: current concepts, treatment, and implications for disease management. Gastroenterology 161(4):1118–1132

    Article  CAS  Google Scholar 

  • Rosenthal AK, Ryan LM (2016) Calcium pyrophosphate deposition disease. N Engl J Med 374(26):2575–2584. https://doi.org/10.1056/NEJMra1511117. PMID: 27355536; PMCID: PMC6240444

    Article  CAS  Google Scholar 

  • Selmi C, Gershwin ME (2014) Diagnosis and classification of reactive arthritis. Autoimmun Rev 13(4-5):546–549

    Article  CAS  Google Scholar 

  • Sharma SM, Jackson D (2017) Uveitis and spondyloarthropathies. Best Pract Res Clin Rheumatol 31(6):846–862

    Article  Google Scholar 

  • Sieper J, Poddubnyy D (2017) Axial spondyloarthritis. Lancet 390(10089):73–84

    Article  Google Scholar 

  • Smolen JS, Aletaha D, McInnes IB (2016) Rheumatoid arthritis. Lancet 388(10055):2023–2038

    Article  CAS  Google Scholar 

  • Smolen JS, Landewé RBM, Bijlsma JWJ, Burmester GR, Dougados M, Kerschbaumer A, McInnes IB, Sepriano A, van Vollenhoven RF, de Wit M, Aletaha D, Aringer M, Askling J, Balsa A, Boers M, den Broeder AA, Buch MH, Buttgereit F, Caporali R, Cardiel MH, De Cock D, Codreanu C, Cutolo M, Edwards CJ, van Eijk-Hustings Y, Emery P, Finckh A, Gossec L, Gottenberg JE, Hetland ML, Huizinga TWJ, Koloumas M, Li Z, Mariette X, Müller-Ladner U, Mysler EF, da Silva JAP, Poór G, Pope JE, Rubbert-Roth A, Ruyssen-Witrand A, Saag KG, Strangfeld A, Takeuchi T, Voshaar M, Westhovens R, van der Heijde D (2020) EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2019 update. Ann Rheum Dis 79(6):685–699

    Article  CAS  Google Scholar 

  • Tillett W, Costa L, Jadon D, Wallis D, Cavill C, McHugh J, Korendowych E, McHugh N (2012) The ClASsification for Psoriatic ARthritis (CASPAR) criteria – a retrospective feasibility, sensitivity, and specificity study. J Rheumatol 39(1):154–156

    Article  Google Scholar 

  • Veale DJ, Fearon U (2018) The pathogenesis of psoriatic arthritis. Lancet 391(10136):2273–2284

    Article  CAS  Google Scholar 

  • Ward MM, Deodhar A, Gensler LS, Dubreuil M, Yu D, Khan MA, Haroon N, Borenstein D, Wang R, Biehl A, Fang MA, Louie G, Majithia V, Ng B, Bigham R, Pianin M, Shah AA, Sullivan N, Turgunbaev M, Oristaglio J, Turner A, Maksymowych WP, Caplan L (2019) 2019 update of the American College of Rheumatology/Spondylitis Association of America/Spondyloarthritis research and treatment network recommendations for the treatment of ankylosing spondylitis and nonradiographic axial spondyloarthritis. Arthritis Care Res 71(10):1285–1299

    Article  Google Scholar 

  • Wasserman AM (2011) Diagnosis and management of rheumatoid arthritis. Am Fam Physician 84(11):1245–1252

    Google Scholar 

  • Wendling D, Prati C, Chouk M, Verhoeven F (2020) Reactive arthritis: treatment challenges and future perspectives. Curr Rheumatol Rep 22(7):29

    Article  Google Scholar 

  • Woude D van der, van der Helm-van Mil AHM (2018) Update on the epidemiology, risk factors, and disease outcomes of rheumatoid arthritis. Best Pract Res Clin Rheumatol 32(2):174–187.

    Google Scholar 

  • Zhang W, Doherty M, Bardin T, Barskova V, Guerne PA, Jansen TL, Leeb BF, Perez-Ruiz F, Pimentao J, Punzi L, Richette P, Sivera F, Uhlig T, Watt I, Pascual E (2011a) European League against rheumatism recommendations for calcium pyrophosphate deposition. Part I: terminology and diagnosis. Ann Rheum Dis 70(4):563–570. https://doi.org/10.1136/ard.2010.139105. Epub 2011 Jan 7. PMID: 21216817

    Article  CAS  Google Scholar 

  • Zhang W, Doherty M, Pascual E, Barskova V, Guerne PA, Jansen TL, Leeb BF, Perez-Ruiz F, Pimentao J, Punzi L, Richette P, Sivera F, Uhlig T, Watt I, Bardin T (2011b) EULAR recommendations for calcium pyrophosphate deposition. Part II: management. Ann Rheum Dis 70(4):571–575. https://doi.org/10.1136/ard.2010.139360. Epub 2011 Jan 20. PMID: 21257614

    Article  CAS  Google Scholar 

  • Zioga N, Kogias D, Lampropoulou V, Kafalis N, Papagoras C (2022) Inflammatory bowel disease-related spondyloarthritis: the last unexplored territory of rheumatology. Mediterr J Rheumatol 33(Suppl 1):126–136

    Article  Google Scholar 

  • Zochling J (2011) Measures of symptoms and disease status in ankylosing spondylitis: Ankylosing Spondylitis Disease Activity Score (ASDAS), Ankylosing Spondylitis Quality of Life Scale (ASQoL), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Global Score (BAS-G), Bath Ankylosing Spondylitis Metrology Index (BASMI), Dougados Functional Index (DFI), and Health Assessment Questionnaire for the Spondylarthropathies (HAQ-S). Arthritis Care Res (Hoboken) 63(Suppl 11):S47–S58

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Melanie Hagen .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Hagen, M. (2023). Arthritiden – Begutachtung. In: Breuer, J., Fritze, J., Popa, A., Scholtysik, D., Seifert, J., Wich, M. (eds) Die Ärztliche Begutachtung. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61937-7_73-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61937-7_73-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61937-7

  • Online ISBN: 978-3-662-61937-7

  • eBook Packages: Springer Referenz Medizin

Publish with us

Policies and ethics