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The various types of arthritis can be distinguished by the pace of onset, the
age and sex of the patient, the amount of (and which) joints affected,
additional symptoms (such as psoriasis, iridocyclitis, Raynaud's phenomenon, and rheumatoid
nodules), and other clues.
Blood tests and X-rays of the affected joints are often
performed to make the diagnosis. X-rays can show erosions or bone
appositions.
Screening blood tests: full blood count, electrolytes, renal function, liver enzymes, calcium, phosphate, protein electrophoresis, C-reactive
protein and the erythrocyte sedimentation rate
(ESR). Specific tests are the rheumatoid factor, antinuclear
factor (ANF), extractable
nuclear antigen and specific antibodies whenever the ANF is found to be
positive.
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