Reactive arthritis is inflammation of the joints that occurs on the background of an infectious disease in the body. Depending on the causative agent of the infection that caused the inflammation of the joints, was detected during the diagnosis, urogenital and postenterocolitic reactive arthritis are distinguished. In the first case, the disease develops after suffering chlamydia, trichomoniasis and other genital infections, in the second case, when salmonella and dysenteric bacilli enter the body.
Reactive Arthritis Symptoms
The first symptoms of reactive arthritis are manifested in combination with the symptoms of the infection that caused it. These can be changes in the patient's state of health associated with swelling of the joints of the wrists, elbows, and knees. In some cases, the process of inflammation extends to the joints of the spine. An inflamed joint, as a rule, gives the patient a lot of inconvenience, causing burning pain. In the event that a genital infection became the cause of its inflammation, these symptoms are accompanied by a burning sensation in the genital area, vaginal discharge from women and from the urethra in men, and frequent urging to the toilet.
If there is any other infection in the body, for example, conjunctivitis, the symptoms of reactive arthritis are accompanied by a decrease in vision, tearing, and redness of the eyes. Inflammation of the joints on the background of intestinal infection may be accompanied by a disorder in the stool, nausea, prolonged vomiting, loss of consciousness, fever.
Quite often, the disease occurs in children of any age. It occurs in this case against the background of intestinal poisoning or as a result of a previous respiratory tract infection. Reactive arthritis in children is a frequent complication of influenza, acute respiratory infections, acute respiratory viral infections, occurring mainly in the winter season. When a 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 swelling of an individual joint or their entire group, pain at the time of palpation, a slight increase in body temperature at the site of the inflammatory process. Recognize the inflammation of the joint is also possible by changing their behavior. The child becomes less active, often naughty, may refuse to move around the room, does it carefully, as if limping, often rubs his palms, massages the fingers.
Diagnosis of Rheumatoid Arthritis
Diagnosis of the disease is based on common urine and blood tests. An important role in the diagnosis plays a survey and 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 rid the patient of 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. In case of severe damage to the joints, the child may be hospitalized before the onset of improvements in health. After the inflammation is eliminated, he is prescribed a course of physiotherapy exercises that helps to fully restore the mobility of the joints.
Treatment of reactive arthritis in adults involves the introduction into the patient's body of anti-inflammatory nonsteroidal drugs. Local injections of glucocorticosteroids may be prescribed, implying the administration of the drug directly to the site of inflammation. Much attention is paid to the treatment of the underlying disease. The course of treatment is usually at least a month. That is how much time is needed in order to get rid of most genital infections. Drugs are injected into the patient for a period specified 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, applications that have an anti-inflammatory effect are used. The elimination of the main symptoms of the disease is promoted by ultraphonophoresis with hydrocortisone, the practice of therapeutic exercises, and the adoption of therapeutic baths.
Under certain circumstances, the treatment of reactive arthritis can be delayed for several months. It is important to re-examine the patient's blood for the detection of rheumatoid factor in it, which is evidence of another, more dangerous type of disease - rheumatoid arthritis. In very rare cases, such drugs as Sulfasalazine, Methotrexate are prescribed for the long-term course of the disease.
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