Reactive arthritis

Reactive arthritis affects mainly young people, in the form of migrating oligo-arthritis (1 to 3 joints), uveitis and sometimes inflammatory rachialgia. They are preceded by 2 to 3 weeks before a uro-genital or digestive (diarrhea) attack.

Diagnostic

The inflammatory syndrome is frequent, the HLA B 27 gene often associated. We must look for the urogenital or digestive germ (Chlamydia, Mycoplasma, Shigella, Salmonella, Yersinia). Trigger of the disease.

Evolution

The evolution under treatment (with antibiotherapy) can be done towards the cure, sometimes between the recurrence, and more rarely towards the true spondylarthritis ankylosing (SPA).

Treatment

Nonsteroidal anti-inflammatory drugs
Some antibiotics, sulfasalazine, azathioprine or methotrexate, or an association
Sometimes corticosteroid injections
Physiotherapy


When the disease is caused by an infection of the general organs or the urinary tract, antibiotics are given, but this treatment does not always relieve arthritis and its optimal duration is unknown.
Joint inflammation is terminated by nonsteroidal anti-inflammatory drugs (NSAIDs). As in rheumatoid arthritis, sulfasalazine or immunosuppressants (eg, azathioprine or methotrexate) may be used.
It is also possible to inject corticosteroids into a severe inflammatory joint or into irritated tendons to relieve symptoms. Physiotherapy is useful for maintaining joint mobility during the recovery phase. Often, conjunctivitis and skin wounds do not need to be treated, although it is a serious inflammation of the eye (hearing) allowing the use of corticosteroids and eye drops.

Comments

Post a Comment

Popular posts from this blog

Ankylosing spondylitis

Image
Symptoms Ankylosing spondylitis (AS) preferentially affects the young man with lumbar spine and sacroiliac (buttocks pain) according to an inflammatory schedule (source of nocturnal awakenings and a morning stiffness of more than 20 min). Sometimes associated with the joints of the limbs: knees, ankles, hands or feet especially heels (talalgia) more rarely the ends of the fingers and toes that can become red, swollen like a small "sausage". Often these pains are very sensitive to nonsteroidal anti-inflammatory drugs (NSAIDs). Sometimes eye damage (uveitis) may be associated. Diagnosis In blood tests, the inflammatory syndrome is variable (C-reactive protein (CRP) and sedimentation rate are normal in more than half of cases), we can often highlight (80% of cases) a gene called HLA B27 but the SPA is not a genetic disease (this gene is normal and remains very common in non-sick subjects, moreover it is not found in some AS). X-rays  are very often normal at the b
Read more

Spinal stenosis or narrow lumbar canal

Image
Definition Stenosis of the lumbar canal (or "lumbar narrowed canal") is a degenerative disorder, occurring most often in the elderly or middle aged, after 50 years. It is also, and improperly, called "narrow lumbar canal". The lumbar spinal stenosis discovered in the elderly or old age is most often the result of the combination of the two pathologies: the congenital narrowness of the lumbar canal, which is decompensated over time by the anatomical changes caused by osteoarthritis, which achieves a narrow lumbar canal "narrowed". Osteoarthritis causes cartilage thinning and sagging intervertebral discs, causing contact between the bone surfaces and reaction thickening of the vertebral bone. The degeneration of the joints also causes ligament thickening, including yellow ligaments, which close the spinal canal.  These morphological changes in the vertebrae, discs, posterior intervertebral joints and ligaments encroach on the intra-canal space normall
Read more