Reactive arthritis refers to inflammation of the joints purulent character.Most often the disease develops after an infection of the urogenital and digestive system.
Often this pathology is associated with a particular histocompatibility antigen, available in the patient's body, and infectious agents thus act only trigger, whose interaction with the immune system leads to the development of joint damage jet.
In the case when a patient arises reactive arthritis - symptoms often develop in patients 20-40 years.The defeat of the joints after undergoing urogenital infection most often occurs in men.Women
reactive arthritis develops in the majority of cases after intestinal infections.
It is worth noting that in some cases the infection gates are not only organs of the urogenital system, or intestines, but the nose of the pharynx.
pathological microorganisms that can provoke the development of reactive arthritis are chlamydia, salmonella, shigella.
If a patient develops reactive arthritis - cause
Thus, the etiology of reactive arthritis in most cases involves the interaction of infectious agents and genetic factors that lead to the special nature of the development of immune responses in the patient.
In most cases, reactive arthritis affects the large joints, the defeat is a volatile character - signs of joint destruction quickly appear and disappear quickly, stir in the joint, which yesterday remained intact.
Almost never a simultaneous loss of four or more large joints, and the joints of the lower limbs are affected more frequently than arthritis of the shoulder, elbow and wrist.
Reactive arthritis of the hip develops with metabolic disorders, especially in gout, as well as the presence of concomitant autoimmune rheumatic pathologies, under constant stress on the joint, for example, flat feet - with early diagnosis and early treatment with this version.
main clinical manifestations of reactive arthritis
I must say that when reactive arthritis symptoms suggestive of the disease process in joints, most often develops as an immune response to infectious agents, but after a while after being hit by the disease in the body of the pathogen.
symptoms of reactive arthritis - a joint damage occur at a young age after undergoing intestinal infection or, for example, after urethritis occurring against a background of diseases, sexually transmitted diseases.
If the trigger was the intestinal infection, the symptoms of the joints combined with diarrhea.If the development of this type of arthritis triggered infection urinary organs, the developing dysuria and pyuria (pus in the urine).
When reactive arthritis, Reiter's syndrome (eye disease in the form of severe conjunctivitis) combined with arthritic joints and urogenital infection.
symptoms of reactive arthritis of the hip joint are dependent on the nature of the lesion.So, when purulent Cox observed rapid development of the pathological process, high fever, pain in the joint and lameness due to pain.
With the defeat of purulent character clinical symptoms develop slowly but steadily progressing.
If developing reactive arthritis in children - the defeat of the symptoms include pain that make the child walk with a limp, to hold a pen or fingers stroking.
peculiarity reactive joint disease in this age group is the damage is not only large but also small joints.This condition requires immediate diagnosis to rule out rheumatoid arthritis and destination specific treatment.
Reactive arthritis in children is diagnosed not only on the basis of complaints of patients - is actively used as a complete blood count, and Revmoproby tests for rheumatoid factor immunoassay for the detection of serum antibodies to the pathogen possible arthritis, X-ray examination of the inflamed joint.
In those cases where reactive arthritis develops in young and middle-aged patients a thorough clinical and laboratory examination allows you to exclude autoimmune nature of the disease.
Even if the patient identifies specific antibodies to pathogens that can trigger reactive arthritis and an antibody specific to systemic connective tissue, it is necessary to treat an autoimmune disease, using all the possibilities of modern rheumatology.