A. Reported differential diagnosis prior to establishing the operational diagnosis of UPIA | |
- Rheumatoid arthritis | - Polymyalgia rheumatica |
- Osteoarthritis | - Lyme disease |
- Spondyloarthritis (reactive arthritis, psoriatic arthritis, ankylosing spondylitis and undifferentiated spondyloarthritis) | - Vasculitis |
- Crystal-related arthritis | - Juvenile inflammatory arthritis |
- Trauma | - Palindromic rheumatism |
- Connective tissue diseases (systemic lupus erythematosus, Sjögren syndrome and myositis) | - Fibromyalgia |
- Septic arthritis | - Endocrinological origin |
- Sarcoidosis | - Malignancy-related arthritis |
- Soft tissue disorders | - Viral aetiology |
B. Reported investigations prior to establishing the operational diagnosis of UPIA | |
- History | - Microbiological assessment |
- Tender and swollen joint count | - Anti-citrullinated protein/peptide antibodies |
- Rheumatoid factor | - Radiography of the chest and/or of other affected joints |
- C reactive protein | - Urinalysis |
- Physical examination | - Thyroid function tests |
- Hands and feet x-rays | - C3, C4 |
- Full blood count | - Immunoglobulins |
- Antinuclear antibodies | - Antibodies to extractable nuclear antigens |
- Erythrocyte sedimentation rate | - Antibodies to double-stranded DNA |
- Biochemistry (liver function tests, glucose, urate and renal function) | - Specific serological assessment |
- HLA typing (HLA-B27 and HLA-DR) |
UPIA, undifferentiated peripheral inflammatory arthritis.