The term "reactive arthritis" was first proposed in the late 60s of the last century to refer to arthritis, which arose after suffering iersenioza, but in the joints while there was no evidence of infectious agents. Later, the term became associated with certain infections of the gastrointestinal tract, genito-urinary organs and nasopharynx.
What is reactive arthritis and its causes
Reactive arthritis (arthritis) is inflammation in one or more joints, which evolved after infections caused by different infectious agents, including bacteria, Chlamydia
Chlamydia: insidious and widespread disease
, Viruses and fungi. But most of all reactive arthritis develops after bacterial infections of the gastrointestinal tract, genito-urinary organs, upper respiratory tract and respiratory tract.
These infections include intestinal infection caused by Yersinia, Salmonella, Klebsiella, Shigella, Clostridium, urogenital infections (urethritis, cystitis, cervicitis, prostatitis, epididymitis, salpingitis, endometritis) caused by chlamydia, ureoplazmu, agents of HIV infection, respiratory tract infections and upper respiratory tract (tonsillitis, pharyngitis, sinusitis, frontal sinusitis, bronchitis and pneumonia) caused by hemolytic streptococcus, chlamydia.
The inflammatory process in this case develops due to disorders of immunity. Fully causes of reactive polyarthritis are not clear, but suggests that much depends on the particular pathogen, the immune system of the patient (including its hereditary characteristics) and the length of stay infectious agent in the body of the patient.
What is arthritis - when it hurts everywhere
It occurs more often in young men. Contributing factors in this case are hypothermia, prolonged exposure to the cold wet limbs, the presence in the body of permanent foci of infection, the increased load on the limbs, limb injuries (including joints).
The disease usually develops after four to six weeks after infection. Onset of the disease is most often acute (less often - subacute), there is high fever, chills, malaise. Against this background there inflammation in several joints, more in the region of lower limbs, but sometimes at the top. Most often affects the knee and ankle joints, but may result in the sacroiliac joints, inflammation of ligaments and tendons in the affected joint (eg, lesions of the Achilles tendon).
Sometimes reactive polyarthritis developed symptoms such as mucous membranes in the form of conjunctivitis, urethritis, erosions and ulcers in the mouth. There may be changes in the skin and, for example, on the soles of feet and palms sometimes appear painless areas of consolidation. There are violations of the nail caused by malnutrition - the nails become brittle.
With an active inflammatory process sometimes affects the heart, mainly the heart muscle (myocardium), whereas the inner shell (endocarditis) are usually not involved in the process, and heart defects
Heart defects - time heals?
It does not develop. In the acute phase of laboratory confirmed the presence of acute inflammation.
The disease usually lasts from one week to several months, while it can completely disappear on their own without any consequences. But in some cases, there is a long course and it becomes chronic with periodic relapses.
The treatment of diseases depends on the cause, he was summoned. So, if the cause of the disease has become a hotbed of chronic bacterial infection, antibiotics are appointed
Antibiotics - whether they will help you in the foreseeable future?
(considering the sensitivity thereto pathogens). In for Arthritis antibiotics have no effect, but the overwhelming infection, which caused them.
The main drugs in the treatment of reactive arthritis are non-steroidal anti-inflammatory drugs (NSAIDs). In this particular drug and its dosage is adjusted individually for each patient. The course of treatment lasts up to 1-1, 5 months, and sometimes more - depending on the patient's condition and the results of laboratory research.
If NSAIDs can not remove the pain, appointed by the glucocorticoid hormones.
After treatment appointed restorative treatment. To restore the normal function of the gastrointestinal tract are appointed by probiotics and prebiotics - medicines containing the bacteria - the natural inhabitants of the intestine and a special "food" for them.
To restore joint function prescribed physiotherapy and gymnastics.