October
28
20:00
Children // Child health

Infectious-allergic arthritis in the child's diagnosis and treatment

There are also infectious arthritis, in which the microbe is "taken" directly into the joint, and there is a purulent inflammation, arthritis after trauma, tuberculous arthritis, and many other options.If you suspect a child arthritis, immediately lead him to a pediatrician.The doctor prescribe tests and their results will decide the baby need to go to the hospital or the parents can treat it at home.Details of the inquiry in an article entitled "Infectious-allergic arthritis in the child's diagnosis and treatment."

infectious-allergic arthritis

occurs as a complication after an intestinal or urinary infections.Viral arthritis.This kind of disease is triggered by a viral infection - rubella, hepatitis B, parvovirus and enterovirus infection and mumps.Post-streptococcal arthritis (before it was called rheumatism).It called artstreptokokkovoy infection.As the name implies, the "legs" are growing out unsuccessfully to get vaccinated.Juvenile rheumatoid arthritis.Autoimmune inflammation, in which the

body begins to like to "digest" their own tissue.A distinctive feature of this form of arthritis - sterility in spite of the fact that the child had been ill recently, the affected joint is not harmful microorganisms.However, to enjoy this fact is not: the cell wall of pathogenic microbes activates lymphocytes, and those, in turn, secrete large amounts of antibodies, which are produced using the so-called immune complexes.Here are some complexes and cause inflammation.At the touch of "hot spots" of other noticeable hot and the skin over them may be red, and even covered with dry, scaly plaques (they later pass on their own).Diagnosis is not as easy as it seems.If arthritis began a month after undergoing an intestinal infection, the parents can not recall her conversation with the doctor.That is why a fair amount of analysis, appointed in reactive arthritis, aimed at finding a possible "contagion."

Fortunately, such a chain is built is not always, but only in the case of coincidence of two factors: the child picks up somewhere infection (salmonellosis, dysentery, pseudotuberculosis, chlamydia), and at the same time he discovered a genetic predisposition to diseases of the joints.In this case, by 1 to 4 weeks after recovery joints suddenly start to hurt: the hands, feet, or, say, your fingers swell, redden and become unruly.For reactive arthritis characterized by asymmetry: to suffer, for example, both knees at once, and one (for example, left) and ankle (right).Still, one feature of the disease - a small number of foci: one to four.A classic example of reactive arthritis - Reiter's syndrome, which is manifested by inflammation of the joints (arthritis), mucous eye (conjunctivitis) and the urethra (urethritis).

How to identify?

1. General blood and urine tests.In reactive arthritis are observed inflammatory changes.

3. Special blood (venipuncture) for the determination of deferred intestinal or urinary infections.

4. Biochemical analysis of blood.Is needed to rule out other diseases in which the symptoms of arthritis combined with the liver or kidneys.In addition, results of this research can be found, was not whether the child "Streptococcus".

5. A blood test to exclude autoimmune diseases of the joints (from a vein).

6. Analysis of urine and feces for the presence of pathogens.

In addition, if necessary, your doctor may ask you to do a swab from the nose and throat and send the patient to the ultrasound and / or x-ray of inflamed joints.And the child must explore the ophthalmologist: usually associated arthritis conjunctivitis passes without a trace, but some kids may begin uveitis (inflammation of the choroid) that requires immediate medical attention.Typically, during the treatment of relief comes in 2-3 days and 7-14 days the baby feels healthy.And here to soothe the parents question: "It's definitely not happen again ?!" Unfortunately, reactive arthritis relapses happen, so keep an eye on the health of the child must be very careful.It is important to respond quickly to all the centers of "LP" infections, such as chronic tonsillitis, or tooth decay.To determine genetic predisposition to arthritis is quite simple: if the parents toddler or grandparents suffer "articular" pain, consequently, the heir may have similar problems.

Viral arthritis

We have already said that this form of the disease occurs on the background of viral diseases, namely rubella (with the appearance of rash or a few days before this symmetrical swell and start to hurt, knees, wrists, ankles andjoints of the hands);parvovirus infection (at the height of the disease begin to swell fingers and wrists);adenovirus infection (3-5 days after the appearance of "colds" symptoms develop symmetrical arthritis of the knee, wrist and ankle);influenza and other viral respiratory infections (by increasing the temperature of the background can appear transient swelling and pain in joints volatile);enterovirus infection (joints start to hurt on the background of rising temperatures and a possible violation of a chair);mumps i.e.pigs (arthritis appears after 1-3 weeks after the disappearance of symptoms and affects large joints).Most viral arthritis usually tested independently - after 1 -2 weeks, and for the relief of pain physicians commonly use non-steroidal anti-inflammatory agents.

Treatment includes

  • Peace.It is necessary to create conditions under which the child will not have to strain your affected joints.
  • Nonsteroidal anti-inflammatory drugs.The doctor assigns ibuprofen, diclofenac, indomethacin, nimesulide, or - these drugs is returned joints mobility, and reduce inflammation and pain.
  • Antibiotics.They are strictly prescribed in certain cases: in recurrent or chronic reactive arthritis at the nature of chlamydial disease, the detection of intestinal infection, or detection of a chronic source of infection in the nasopharynx.
  • Hormones.These funds are used exclusively in severe arthritis, which are powerless against the non-steroidal drugs.
  • Physiotherapy.At the stage of remission of inflammation and in the recovery period the baby is actively used by phonophoresis, magnetic and paraffin treatment and physiotherapy.

post-streptococcal arthritis

group A streptococci cause acute tonsillitis (angina) and / or pharyngitis.If time does not begin treatment with antibiotics, the immune system can take pathogens for the body's own cells - learning to destroy streptococci, it is just beginning to deal with the heart and joints.As a result of 1-2 weeks after the previous infection occurs arthritis, mostly affecting the knees, elbows, wrists and ankle, and the inflammation quickly "jump" from one joint to another.To diagnose post-streptococcal arthritis helps blood, revealing a sharp increase in the number of specific antibodies protivostreptokokkovyh.In the case of post-streptococcal arthritis child should do cardiorheumatologist!Get ready for long-term treatment with a course of antibiotics.

postvaccinal arthritis

Typically, arthritis is caused by a vaccination against rubella (integrated or "mono").Less inflammation occurs after vaccination against mumps, whooping cough or chicken pox.Signs of arthritis appear within 1-3 weeks after injection, but five days later they completely disappear.Severe systemic disease that affects not only the joints, but internal organs, most often found in girls 2-5 years.This arthritis can begin acutely (fever and severe pain) or gradually - without the heat, with a slow increase in swelling and sensitivity.In the morning, the child feels stiffness in movement, which is usually held in the evening, but returned the next day.Another feature of the disease - symmetric joint damage.Often inflamed membranes and eyes - is revealed in ophthalmologic examination.When juvenile rheumatoid arthritis doctor prescribes hormonal child, and non-steroidal anti-inflammatory drugs - always - immunosuppressive agents.Now we know how dangerous infectious-allergic arthritis in the child's diagnosis and treatment it necessarily in a hospital or at home.

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