For this reason was proposed to use the handshake test in metacarpophalangeal and metatarsophalangeal joints since it has a greater specificity than the finding of arthritis in ³ 3 joints or symmetric arthritis in the identification of persistent arthritis.
The first phase (synovial and perisinovial inflammation) is characterized by edema of the synovial stroma, which produces eminences or villous projections into the cavity (hairy hypertrophy) Flekosteel, proliferation of synovial cells arranged in 6 to 9 layers (usually disposed in 1 a 3 layers), large infiltration of round cells.
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