Objective: Assess the situation of rheumatoid arthritis disease (clinical features, treatment before hospitalization) at the Department of Nephrology and Rheumatology, in No.108 Military Central Hospital in 2 years 2013-2015. Subject and method: A retrospective, descriptive, cross-sectional study analyzing the characteristics of patients with rheumatoid arthritis treated at the Department of Rheumatology and Nephrology in No.108 Military Central Hospital from March 2013 to April 2015. Result: in 81 patients with rheumatoid arthritis, 65 patients (80.2 percent) were females. The ages ranged from 36 to 15 years old with a mean of 60.6 +/- 10.9, disease duration ranged from 0.5 to 15 years (mean 3.9 +/- 2.7 years). Three most common comorbidities were dyslipidemia (56.8 percent), hypertension (35.8 percent) and long-term corticosteroid induced Cushing syndrome (32.1 percent). Two symptoms which often seen were hand and fingers' arthritis (97.5 percent) and morning stiffness (84 percent); the majority of patients were at stage II of disease (according to Stein brocker's classification (85.2 percent); 76.5 percent had positive RF. The treatment before hospitalization was inadequate: 90.1 percent used corticosteroids and/or medicinal herbs remaining unproven; 76.5 percent had in proper treatments; 56 patients (69.1 percent) did not use DMARDS, among them 53 patients (65.4 percent) not use Methotrexate. Conclusion: Rheumatoid arthritis had been a chronic joint disease, mainly met in females and often hospitalized at late stages. The treatment before hospitalization was inadequate, often without DMARDS, such as Methotrexate; most patients had abuse of corticosteroid and medicinal herbs, leading to unstable disease with many side-effects.
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