Its an autoimmune disease. It causes inflammation in the lining of your joints (the synovium). As a result, your joints may get red, warm, swollen, and painful. It affects joints bilaterally and as it progresses might involve your body systems like lungs, heart and skin. Presentation: Stiffness specially in the morning Joint pain and swelling Fever, Fatigue, Weight loss Small joint involvement first Signs: Swan neck deformity Boutonniere deformity Cock-up toe deformity The doctors will order the following labs to reach the final diagnosis: CBC, ESR, Rheumatoid Factor, Anti CCP and X-ray The treatment usually involves anti inflammatory pain killers, steroids and DMARDS such as Methotrexate, Sulfasalazine and Leflunomide.