PF 1.2 Inflammatory arthralgia.
April 26, 2025PF Colitis
May 10, 2025Arthritis
Symptom Grade 1
- Moderate or severe pain
- Limiting instrumental activities of daily living and may disable self care
- Signs of inflammation such as joint swelling
- Awaking of pain at night
- Early morning stiffness (>30min)
- Multiple joints may be affected
Figure of all joints
Management escalation pathway
- Initiate analgesia with paracetamol and/or NSAID (If not contraindicated)
- Continue ICPI
Assessment and Investigations
- Complete rheumatological history
- Examination of all joints and skin
- Consider imaging to exclude metastases
- Consider ultrasound to exclude artritis
Abbrevations
ACPA: Anti Citrullinated Antibody
ANCA: Anti Neutrophil Cytoplasmic Antibody
ANF: Anti Nuclear Factor
ICPi: Immune Checkpoint Blockade Inhibition
NSAID: Non Steroidal Anti-Inflammatory Drugs
RF: Rheuma Factor