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PATHOPHYSIOLOGY OF RHEUMATOID ARTHRITIS

MODIFIABLE & NONMODIFIABLE FACTORS


ENDOTHELIA
ACTIVATION

CD4 + T
CELL
CYTOKINES
MACROPHAG
E
ACTIVATION

B CELL
ACTIVATION
FORMATION OF
RHEUMATOID
FACTOR
IMMUNE COMPLEX
FORMATION AND
DEPOSITION

FIBROBLASTS
CHONDROCYTES
SYNOVIAL CELLS

EXPRESSION OF
ADHESION
MOLECULES

PROLIFERATI
ON

RELEASE OF
COLLAGENASE,
STROMELYSIN,
ELASTASE, PGE2 AND

JOINT

PANUS FORMATION; DESTRUCTION OF BONE,


CARTILLAGE; FIBROSIS; ANKYLOSIS

ACCUMULATION OF
INFLAMMATORY
CELLS

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