Polyarthritis, Inflammatory Arthritis, and Rheumatoid Arthritis

Related terms, but not the same thing

In This Article

The terms polyarthritis, inflammatory arthritis, and rheumatoid arthritis are often used interchangeably, but they don't all mean the same thing. Rheumatoid arthritis (RA) is a disease, while the other two are ways of describing a particular case of arthritis.

Polyarthritis

Polyarthritis means "arthritis that affects five or more joints." So polyarthritis simply means that multiple joints are involved, but not the type of arthritis affecting your joints.

Conditions that can cause polyarthritis include: 

  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Ankylosing spondylitis
  • Reactive arthritis
  • Spoldyloarthropathies
  • Lupus
  • Systemic vasculitis

Polyarthritis isn't only tied to chronic illnesses. It also can be a transient symptom of a passing illness such as rheumatic fever.

Treatments and the prognosis for polyarthritis depends on what specific type of arthritis it's associated with.

Inflammatory Arthritis

The term inflammatory arthritis typically refers to arthritis due to autoimmune disease in multiple joints throughout the body. In autoimmune disease, your immune system misfires and attacks the body's own tissues. The damage it causes to the joint, and specifically the lining of the joint (called the synovium), leads to inflammation.

Arthritis caused by inflammation is often associated with joint pain and stiffness, especially after periods of rest or inactivity, such as in morning stiffness. Swelling, redness, and warmth may surround the affected joints.

Types of inflammatory arthritis include:

As with polyarthritis, treatments and outcomes for inflammatory arthritis depend on the specific diagnosis.

Inflammatory arthritis may also be associated with systemic effects.

Rheumatoid Arthritis

Rheumatoid arthritis is a specific disease that is, by definition, a type of inflammatory polyarthritis. It's an autoimmune disease that typically involves many joints symmetrically (affecting the same joint on both sides of the body) and may be associated with systemic effects.

Early and aggressive treatment of rheumatoid arthritis can help prevent joint damage from the inflammation. Disease-modifying anti-rheumatic drugs (DMARDs) and biologic drugs, often used in combination, are often part of the treatment regimen. TNF blockers, which are a type of biologic drug, effectively reduce chronic inflammation, decrease mortality, and reduce the risk of cardiovascular events in people with this disease.

Rheumatoid Arthritis Doctor Discussion Guide

Get our printable guide for your next doctor's appointment to help you ask the right questions.

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A Word From Verywell

If your doctor is using one of the above terms and you don't understand what it means in relation to your symptoms or diagnosis, be sure to ask. The better you understand what's going on in your body, the better armed you are to fight against it, alleviate symptoms, and improve your quality of life.

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Article Sources
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  2. Shankar B, Bhutia E, Kumar D. Atypical arthritis revisited: Acute rheumatic feverAnn Pediatr Cardiol. 2016;9(2):164-166. doi:10.4103/0974-2069.180670

  3. Arthritis Foundation. Tracking disease activity in inflammatory arthritis.

  4. Hospital for Special Surgery. Inflammatory Arthritis.

  5. Merck Manual Professional Version. Rheumatoid arthritis (RA). Updated May 2020.

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