Hi Welcome to Healthcaremagic Forum..
can occur at any age. Common age being >40 yrs, women are commonly affected.
Features of Rheumatiod arthritis with Positive Rheumatoid Factor
indicates bad prognosis., which is evidenced by 2 episodes of Pleural effusion.
You need to consult a Rheumatologist
With better care and proper treatment disease can be controlled and disabilities can be limited.
Medications includes FIRST line drugs and SECOND line drugs, which can effeciently can limit the disease.
Others include exercise including swimming, can benefit.
Finally, minimizing emotional stress can help improve the overall health in people with rheumatoid arthritis.
Please consult Rheumatologist
, and stay positive.