Arthritis with rubella virus

Features of viral rubella, its main manifestations and outcomes, diagnosis of arthritis with rubella.

When the disease rubella joint disease occurs in half of all cases in both adults and children.This is due to the influence of a special election (artrotropnostyu) rubella virus in the tissues of the joints.According to many physicians, rubella virus plays a role in the development of diseases such as rheumatoid arthritis in adult and juvenile rheumatoid arthritis in children.

When the disease rubella joint disease occurs in half of all cases in both adults and children, this is due to the influence of a special election (artrotropnostyu) rubella virus in the tissues of the joints.According to many physicians, rubella virus plays a role in the development of diseases such as rheumatoid arthritis in adult and juvenile rheumatoid arthritis in children.

Features of development and manifestations of rubella arthritis

rubella arthritis most commonly occurs in young women in the acute phase of the

disease rubella when the rash begins to fade, or a month after the vaccination.It rarely occurs before the appearance of the development of arthritis rubella rash.

This process is mainly localized in the small joints of symmetrical hand and wrist and are accompanied by symptoms of carpal tunnel syndrome in the form of a sudden strong pain occurring in the first and third fingers, radiating up to the elbow, a decrease of skin sensitivity in this area, the weakness of the hand muscles.This is due to the infringement of the median nerve due to edema and tenosynovitis phenomena in para-articular tissues of the wrist joint, and may be accompanied by lymphadenopathy (increase in morbidity and peripheral lymph nodes) .In the acute period of joint pain can be quite intense and does not correspond to a small external manifestations of arthritis, but it is sometimes possibleappearance in the joint cavity serous (purulent) effusion.

Less involved in the process joints of the lower limbs (joints of the feet, ankles and knees), and is more common in children of one defeat - three major joints.On average, the process takes less than a month, resulting in complete recovery even without a treatment without residual effects.But sometimes, perhaps more protracted course of arthritis, occasionally a transition process in the chronic disease.

In primary infection with rubella is usually celebrated the presence of fever, general weakness, headache and a typical skin rash.In a later appearance of arthritis may occur again fever and symptoms of intoxication, but without the rash.

In cases where arthritis occurs after the vaccination with a live attenuated vaccine measles virus, it flows in a lighter form and more localization process in the knee joint.More susceptible to such post-vaccination arthritis arising month after vaccination, persons previously undergone rubella.

outcome.

disease usually occurs without endangering the patient's life.Its duration varies from a few days to a month.Complications such as thrombocytopenic purpura in children and meningoencephalitis in adults, are extremely rare.

diagnosis of arthritis with rubella virus

  • In general, the analysis of the blood can be increased ESR and reduced white blood cell count (leukopenia).
  • Immunological research can sometimes be identified rheumatoid factor and increase immunoglobulin M also determine the presence of specific antibodies in the serum of blood
  • In the study of synovial fluid from the affected joint may experience an increase in its viscosity, increasing the number of leukocytes and the presence of rubella virus.
  • Rubella virus can also be found in the discharge from the nose and throat, blood, urine.
  • X-rays do not detect bone changes.
  • Ultrasound affected joints can be detected para-articular tissue swelling and a slight increase in the volume of synovial fluid (effusion).

treatment.

Specific treatment is not designed primarily symptomatic therapy, as a primary prophylactic agent vaccinations using live attenuated virus vaccines.

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