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Rheumatoid Arthritis

  • Knee Osteoarthritis 

  • Skin Manifestations of Rheumatological Diseases

RA is a chronic inflammatory disorder that affects the joints and causes symmetrical arthritis. It usually involves extra-articular structures like the skin, eye, lung, heart, kidney, blood vessels, and bone marrow. 

Rheumatoid Arthritis

Rheumatoid arthritis causes pain and inflammation in your joints.

Rheumatoid arthritis (RA) is a chronic condition that results from a malfunctioning immune system.

It commonly affects the hands, knees and feet. There’s no cure, but it can be managed and damage to your joints can be reduced with early and ongoing treatment.

Your immune system is designed to identify foreign bodies (such as bacteria and viruses) and attack them to keep you healthy. However, in the case of rheumatoid arthritis, your immune system mistakenly attacks healthy tissue in and around your joints, causing ongoing inflammation and pain.

When you have rheumatoid arthritis: your immune system attacks your joints, which causes, a build-up of synovial fluid - inflammation of the tissues that line the joint (synovial membrane). This induces pain, heat and swelling and eventually the cartilage becomes brittle and breaks down – because the cartilage no longer has a smooth surface, the joint becomes stiff and painful to move while igaments, tendons and muscles surrounding the joint can also be affected, causing joints to become unstable.

Rheumatoid arthritis can occur at any age, but usually appears between the ages of 30 and 60. It affects women more often than men.

The course and severity of rheumatoid arthritis varies from person to person. Symptoms may change from day to day.

At times your symptoms (such as pain, fatigue and inflammation) may become more intense. This is a flare, or flare-up. Flares are unpredictable and can seem to come out of nowhere.


If you’re experiencing joint pain and inflammation, it’s important that you address your symptoms without delay. Getting a diagnosis as soon as possible means that treatment can start quickly. Early treatment will help you to control the inflammation, manage pain more effectively and minimise the risk of long-term joint damage and disability.

Knee Osteoarthritis 

Knee pain is the most common symptom of osteoarthritis in the knee, making it painful for you to jog, run, climb stairs or kneel. It can also make your knees feel stiff or swollen. Over time, osteoarthritis of the knee can change the shape of your knee joint, making your joint feel unstable or wobbly.

Osteoarthritis is typically a progressive disease that may eventually lead to disability. The intensity of the clinical symptoms may vary for each individual. However, they typically become more severe, more frequent, and more debilitating over time. The rate of progression also varies for each individual. Common clinical symptoms include knee pain that is gradual in onset and worse with activity, knee stiffness and swelling, pain after prolonged sitting or resting, and pain that worsens over time.


Our treatments for knee osteoarthritis begins with conservative methods.

Skin Manifestations of Rheumatological Diseases

There are many rheumatic diseases presenting itself with skin manifestations. This could be the first presenting feature of a systemic rheumatic disease. In addition, some of these skin manifestations could be an indication of an active disease or a sign of a serious medical emergency.

Skin involvement in autoimmune arthritis is related to the same inflammatory process as joint inflammation. Some skin problems are related to the disease itself others result from using strong mediations designed to manage RA symptoms and slow down the disease’s progression.


Psoriatic Arthritis

 Psoriatic arthritis (PsA) is another autoimmune form of arthritis. Many people with PsA also have psoriasis, a condition where excess skin cells create scaly skin lesions.



Much like RA, lupus is an autoimmune disease that begins when the immune system starts to attack its own healthy tissues. Most people with lupus have skin related problems at some point.



Scleroderma is a chronic connective tissue disease which is classified as an autoimmune arthritis disease. Skin hardening is a visible characteristic of the disease, but it can also cause other skin problems.


Adult-Onset Still's Disease

Adult-onset still's disease (AOSD) is the adult form of juvenile rheumatoid arthritis. Skin rash and skin lesions are symptoms of this condition.


Arthritis Skin Involvement

Autoimmune forms of arthritis bring about a multitude of symptoms. Some of the most common are:

  •  Rheumatoid nodules with RA

  • Psoriatic plaques with PsA

  • Butterfly rash on the face with Lupus

  • Skin hardening with Scleroderma

  • Rashes and lesions with AOSD


Other arthritis conditions cause skin problems, but the ones above are the most common.

Make sure you bring any concerns about ongoing skin problems to your doctor’s attention.

We refer to arthritis as an invisible condition because the inflammation and pain associated with the various types of arthritis are difficult to see. But sometimes, symptoms can become more visible especially when they are viable on the skin.

About Our Programme

For the painless better future of RA patients, Citter System has opened a venue in the treatment with promising Citter formulations and Single multiple herb therapy and oils there by promoting the health status of RA without any untoward adverse effects and ensure long life without any complication and disability. It is interesting to note that the Citter Plant-based extracts and oils are made from nature grown plants that are effective and efficacious and is apt to adhere to the Citter System practiced out of The Citter Clinic at Chidambaram for the treatment and management of RA related issues.

This system can bring great relief to so many people globally.

Contact Us if YOU have an issue

If you’re diagnosed with rheumatoid arthritis or suspected of having the condition, or have been living with the condition for some years, contact us as we may be able to help you have a better quality of life.

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