Question

You have just diagnosed a patient with rheumatoid arthritis in their hands, a chronic, inflammatory disorder that may affect many tissues and organs, but principally attacks the joints producing inflammation and often progresses to destruction of cartilage and joints. Rheumatoid arthritis: extracellular release of lysosomal enzymes. Your patient has a Master of Science in Chemistry, and would like a biochemical explanation of how rheumatoid arthritis is affecting the cells of their hands, so that they can put the disease into perspective. What will you say?