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Rheumatoid Arthritis in Women

How to manage your work and home life when you have rheumatoid arthritis.
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WebMD Feature
Reviewed by Louise Chang, MD

Bess Schear, now age 48, once aspired to be a professional chef, but now she is happy just cooking for her husband, Howard, and their closest friends.

But she's not complaining because there was a time when she didn't even think this type of informal cooking was possible. Diagnosed with rheumatoid arthritis (RA) as a newlywed at age 23, Schear was forced to give up her dream of becoming a chef because it became increasingly harder to lift stockpots and chop veggies, even with the help of her sous chef.

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Rheumatoid Arthritis, Work, and Disability

Nancy Hardin, age 71, of Dyersburg, Tenn., was diagnosed with rheumatoid arthritis (RA) 11 years ago.  A few months after her diagnosis, she quit her teaching job at a local high school because she could barely walk. Then she started taking the biologic drug Remicade and became nearly symptom-free. Nevertheless, she decided that going back to the classroom would wear her out. She did, though, become a volunteer translator for local Spanish-speaking immigrants and a member of the Tennessee Council...

Read the Rheumatoid Arthritis, Work, and Disability article > >

"If I was chopping something hard like a winter squash, my hands would hurt and the joints in my feet would also hurt because there is a lot of standing involved in being a professional chef," recalls the Staten Island, N.Y, resident.

About 1.3 million American adults have rheumatoid arthritis, and most of them are women like Schear who develop the disease in what should be the prime of their lives. RA is an autoimmune disease that occurs when the body engages in friendly fire against its own joints. Untreated, it can affect all aspects of a woman's life from dating and starting a family to raising that family and succeeding at work.

Rheumatoid Arthritis: Striking Women in Their Prime

"RA often strikes women who are in their 30s and 40s who have heavy work and home responsibilities," says Androniki Bili, MD, MPH, of Geisinger Health System in Danville, Pa. "We are looking at women who have young children and who are bread winners or equal partners in bringing in income."

RA is not only more common among women, it also may take a tougher toll on their bodies and psyches, according to a study published in Arthritis Research & Therapy. According to these findings, women had more severe RA symptoms and were less likely to be in remission than their male counterparts, despite similar treatments.

"Women experience musculoskeletal diseases worse than men because they are physically smaller and have smaller muscles," says study author Tuulikki Sokka, MD, PhD, of Jyvasyla Central Hospital in Finland.

The fact that women can become pregnant is likely the reason that they are disproportionately affected by autoimmune diseases like RA and lupus, explains David Pisetsky, MD, chief of rheumatology at Duke University Medical Center in Durham, N.C.

"Women's immune systems are built differently than men's," he says. "Women can get pregnant, which means that in essence, there is a foreign person in the mother and they don't respond [by launching an attack against it], so the same mechanism that allows pregnancy may also allow autoimmune disease."

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