Reactive arthritis arthropathy still carries the name and refers to the most common rheumatic diseases, faced by doctors of various specialties.
Under a diagnosis of reactive arthritis unite a whole group of diseases that are characterized by the same type of joint disease.
When defeat reactive arthritis symptoms are not subject to the diagnostic criteria for other disorders of the musculoskeletal system, which is why the disease is classified as a separate group.
Clinic reactive lesions knee and ankle joints
Reactive arthritis of the knee pain is most often seen, which occurs suddenly, against the background of complete well-being, and has intense or occurs as a periodic symptom within a few days after undergoing infetsii.
It is worth noting that in terms of the treatment of acute pain in the knee joint is more favorable than the sporadic occurrence of pain.Often knee joint disease characterized by severe symptoms.
Reactive arthritis of the knee joint has an acute onset.Typically an increase
tissues surrounding the joints become hot to the touch.Patients can not fully straighten the knee, become restless.
Often this damage develops after undergoing cold, and can also occur with certain infections, such as salmonellosis and dysentery, parasitic lesions or psoriasis.Often such arthritis of the knee is a consequence transferred angina.
Reactive arthritis of the ankle can occur on osteoporosis background or degenerative changes that occur due to circulatory disorders of bone and joint cartilage, with concomitant gout and ankylosing spondylitis, as well as excessive load on the ankle, which is observed in flat feet or a long run.
The disease manifests aggression by its own immune system, joint tissue when recognized as foreign structure.
The clinical picture of reactive arthritis of the ankle to the fore the pain and violation of the motor function of the joint, which further leads to the development of contractures - significant limitation of movement.
Principles of therapy of reactive arthritis
How to treat reactive arthritis and some drugs used in the treatment determines the rheumatologist after carrying out all the necessary surveys.
Diagnostic criteria is a typical asymmetric lesion of the joints of the lower extremities, the volatile nature of the lesion, the presence of antibodies to a particular pathogen, as well as a history of urogenital inflammation or infection of other localization.
patients received a general analysis of blood and urine, as well as tests to identify the etiologic antigen.Before you treat reactive arthritis, tests are performed to exclude other rheumatic diseases of nature - it is important to the timely elimination of rheumatoid arthritis in a patient.
In reactive arthritis treatment is carried out in two directions:
- antibiotic therapy of articular syndrome.
reactive arthritis Treatment includes azithromycin, doxycycline or alternative drugs - erythromycin, ofloxacin.
To reduce the inflammatory changes in the joints are assigned non-steroidal anti-inflammatory drugs, glucocorticoids.
reactive arthritis treatment in children must be etiotropic direction.Antibiotics that are useful to combine with immunomodulators.In severe disease with excess immunological activity appropriate to prescribe immunosuppressants.In addition, anti-inflammatory agents show reception.
In reactive arthritis diet with high content of omega-3zhirnih acids improves the condition of the cartilage and reduce inflammation.It is necessary to limit the use of acute and smoked foods and increase the number of fish, low-fat dairy products, fruits and vegetables.
useful to use linseed oil.When reactive arthritis treatment folk remedies also has a positive therapeutic effect.
recommended to use charges of medicinal plants containing burdock root, grass, violets, birch leaves, nettle leaves, parsley, and these herbs can be used for a long time even after the abolition of antibiotics.