Reactive arthritis - inflammation of the joints, which occurs against the background of the existing infectious disease in the body. Depending on the causative agent of the infection that caused the inflammation of the joints, it was revealed during the diagnosis, distinguish between urogenital and post-enterocolitis reactive arthritis. In the first case, the disease develops after the transferred chlamydia, trichomoniasis and other sexual infections, in the second case, when ingested Salmonella, dysentery bacillus.
Symptoms of reactive arthritis
The first symptoms of reactive arthritis are manifested in combination with the symptoms of the infection that caused it. It can be a change in the patient's health, associated with swelling of the joints of the wrists, elbows, knees. In some cases, the process of inflammation spreads to the joints of the spine. An inflamed joint, as a rule, gives the patient a lot of inconvenience, causes burning pain. In the event that the cause of his inflammation is sexual infection, these symptoms are accompanied by burning in the genital area, vaginal discharge in women and from the urethra in men, frequent urge to the toilet.
In the presence of any other infection in the body, for example, conjunctivitis, the symptoms of reactive arthritis are accompanied by a decrease in vision, lacrimation, reddening of the eyes. Inflammation of the joints on the background of intestinal infection can be accompanied by a disorder of the stool, nausea, protracted vomiting, loss of consciousness, fever.
Quite often this disease occurs in children of any age. It arises in this case against a background of intestinal poisoning or as a result of a transmitted infection of the respiratory tract. Reactive arthritis in children is a frequent complication of influenza, acute respiratory infections, acute respiratory viral infections, which occur mainly in the winter season. When the disease occurs, the child begins to complain of shooting pains in the knees or fingers.
The main symptoms of reactive arthritis in children as well as in adults are edema of a single joint or a whole group of them, pain at the time of palpation, a slight increase in body temperature at the site of inflammation localization. You can also recognize the inflammation of the joint by changing their behavior. The child becomes less active, often capricious, may refuse to move around the room, does it cautiously, as though limping, often rubs his hands, massaging his fingers.
Diagnosis of rheumatoid arthritis
Diagnosis of the disease is based on general analysis of urine and blood. An important role in the diagnosis is played by a survey and a review of the patient. The appearance of signs of reactive arthritis necessarily indicates the presence of infection in the body. The main task of the doctor in this case is not only to get rid of the patient from inflammation of the joints, but also to eliminate the disease, which can be very serious.
How to treat reactive arthritis
Modern medicine allows you to completely get rid of the disease without the occurrence of its complications and relapses in the future. Children with a diagnosis of reactive arthritis are shown bed rest and taking antibiotics, mainly penicillins. If the joints are severely affected, the child may be hospitalized before the improvement in the state of health. After the inflammation is eliminated, he is given a course of therapeutic physical training, which helps to fully restore the mobility of the joints.
Treatment of reactive arthritis in adults involves the introduction of the patient's anti-inflammatory non-steroid drugs. Local injections of glucocorticosteroids may be prescribed, implying administration of the drug directly to the site of inflammation. Much attention is paid to the therapy of the underlying disease. The course of treatment is usually not less than a month. This is the time it takes to get rid of most sexual infections. Drugs are introduced into the patient's body throughout the period of time established by the doctor, even if the main manifestations of the disease are completely eliminated.
As a local remedy in the treatment of infectious inflammation of the joints, ointments, gels, and applications that have an anti-inflammatory effect are used. Elimination of the main symptoms of the disease is facilitated by ultraphonophoresis with hydrocortisone, therapeutic gymnastics, the adoption of therapeutic baths.
Under certain circumstances, treatment of reactive arthritis may take several months. It is important to conduct a second study of the patient's blood to identify a rheumatoid factor in it, which is evidence of a different, more dangerous type of disease - rheumatoid arthritis. In very rare cases with prolonged course of the disease, such drugs as sulfasalazine, methotrexate are prescribed.
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