Approach to Inflammatory Arthritis for Primary Care Physicians

Authors

  • John P. Wade, MD, FRCPC Artus Health Centre, Vancouver, British Columbia
  • Ali Shams, MD, FRCPC Artus Health Centre, Vancouver, British Columbia

DOI:

https://doi.org/10.58931/cpct.2025.3354

Abstract

Inflammatory arthritis is a common condition encountered in primary care clinics but its diagnosis can be challenging because of the many conditions that can present with similar clinical features.  As the differential diagnosis is broad, clinicians need to consider the most common entities and adopt a structured approach to establish the most likely diagnosis to help with initiating appropriate investigations and treatment.

Rheumatoid arthritis (RA), observed in 0.9% of the population, and psoriatic arthritis (PsA) affecting 0.5–2%, are the most common types of inflammatory arthritis. Ankylosing Spondylitis (AS) occurs at approximately half the frequency, with a prevalence of approximately 0.5% in the general population.

Author Biographies

John P. Wade, MD, FRCPC, Artus Health Centre, Vancouver, British Columbia

Dr. Wade is an experienced clinical rheumatologist in Vancouver. He is Clinical Associate Professor, Division of Rheumatology, University of British Columbia. Dr Wade has served in senior roles at the local and national levels in Rheumatology. He is former Head Division of Rheumatology at Vancouver General Hospital. At present he is Director of Artus Health Centre in Vancouver and Secretary Treasurer of the Canadian Rheumatology Association.

Ali Shams, MD, FRCPC, Artus Health Centre, Vancouver, British Columbia

Dr. Ali Shams is a new rheumatologist at Artus Health Centre. He has recently completed his Rheumatology training at the University of Calgary and has published in the British Medical Journal. He brings great knowledge and modern training experience to the Artus Health Centre in Vancouver.

References

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Published

2025-11-14

How to Cite

1.
Wade JP, Shams A. Approach to Inflammatory Arthritis for Primary Care Physicians. Can Prim Care Today [Internet]. 2025 Nov. 14 [cited 2025 Nov. 15];3(3):35-41. Available from: https://canadianprimarycaretoday.com/article/view/3-3-Wade_et_al

Issue

Section

Articles