Tuberculosis toxic- allergic arthritis (tuberculosis Ponce )

joints in tuberculosis may be affected not only the direct causative agent of the disease, but also because of the pathological response against tuberculosis process in other organs.

Features of tuberculosis Ponce

Typically, this process is developing against the background of latent tuberculosis process respiratory, lymph nodes and other sites.At the same toxins during each exacerbation of tuberculosis increase the level of sensitization of the body of the patient, and above all it reacts synovium of joints - there develop symptoms of synovitis, as well as the conjunctiva - it process takes place in the form of conjunctivitis.

disease Home often triggered by acute (colds) infection, which further weakens the body and at the same time contribute to changes in the immune-allergic status.At the same time the severity of the inflammatory process is purely individual in nature and can vary over a wide range: from small synovitis with symptoms of arthralgia to destructive changes in the joints.

main manifestations of tuberculous arthritis of toxic and allergic

Very often the beginning of the disease is preceded by pain in one or more joints.In half of all cases of arthritis begins acute or subacute with fever, excessive sweating, weakness, severe pain in the joints with swelling, increased skin temperature over joints and its redness, limitation of traffic volume.But unlike the Rheumatoid Arthritis no subcutaneous rheumatoid nodules and symmetric joint disease.At the same time in all patients, as a rule, identified the primary foci of tuberculosis, the limitation period which can be from one year to several decades.

most often in tuberculosis Ponce suffered wrist and ankle joints, interphalangeal joints and knee joints and is usually not inflamed shoulder and hip joints.In 40-50% of all cases of arthritis is accompanied by diseases of the spine (spondylitis.)

Prognosis

Forecast tuberculosis Ponce with timely diagnosis and treatment of relatively favorable, although 20% of patients develop gross joint deformity and even their ankylosis.

diagnosis of tuberculous arthritis of toxic and allergic

  • X-ray examination of joints (half of the patients have osteoporosis, edge defects of the articular surfaces - uzuratsiya, narrowing of joint gaps, ankylosis of wrist joints), of the chest.
  • in blood - anemia, a decrease in white blood cell count (leukopenia), increased eosinophils, increased erythrocyte sedimentation rate.
  • Mycobacterium tuberculosis from the synovial fluid in the affected sustavh not detected.

General principles of treatment of tuberculosis Ponce.

  • In acute process - gentle treatment with the restriction of motor activity (if necessary using special fixing bandages, dressings or splints on painful joints), a balanced diet, rich in proteins and vitamins.
  • Chemotherapy of Tuberculosis, aimed at the treatment of primary tuberculous process, which is carried out not only in the inpatient and outpatient treatment, but also during the spa treatment.
  • non-specific anti-allergic therapy, therapy with analgesics and anti-inflammatory non-steroidal drugs.
  • Physiotherapy, local therapy, reflexology.
  • With the ineffectiveness of conservative therapy, in severe cases, in severe deforming arthrosis with ankylosis resorting to surgery.

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