The Nature of Arthritis 2

	Location	Symmetrical	Pain	Deformity	Stiffness
Septic arthritis	Anywhere. Could be monoarticular and could be polyarticular too. History of predisposing infection play a role	Nil	Acute onset tenderness. Beware of partially treated septic arthritis which could be painless	Swollen joint with effusion. Look for deformity due to RA as it may preceed the septic arthritis	Nil
Rheumatic fever	multiple large joints, play attention on migratory joint pain	Nil	Painful but responds rapidly to aspirin	Rare but may have Jaccoud arthritis	Nil
Reactive arthritis	Peripheral joint involvement commonly weight bearing joint. small joint of hand and feet may involve in chronic and severe cases	Assymetry	Acute onset, tolerable	Nil	Nil
Dengue fever	Non specific, usually involve whole joint. More of Arthralgia	Nil	Tolerable, responds well with analgesic	Nil	Nil
Chikugunya	Non specific. May involve all joint More of Arthralgia	Nil	Severe and disabling patient. May persist even after the disease being treated	Nil	Nil