Reiter syndrome: symptoms, diagnosis and treatment

Content

  • Reiter syndrome, reasons for Reiter's syndrome
  • Symptoms of Reuters syndrome
  • Diagnostics and treatment of Reiter syndrome



  • Reiter syndrome, reasons for Reiter's syndrome

    Reiter syndrome keeps on three whales: arthritis (joint inflammation), urethritis (urethra inflammation) and conjunctivitis
    (inflammation of the conjunctiva of the eye). The main of them is inflammation
    Joints. The distinctive feature of the Reiter syndrome is all damage to
    The organism causes the same microorganism-pathogen.
    As a rule, young men become victims of the rater disease.

    Reiter syndrome: symptoms, diagnosis and treatmentThe cause of the relat syndrome is viral and bacterial infections, and
    Also the hereditary features of the human immune system
    (abnormal reaction to the introduction of a certain pathogen). Syndrome
    Reuters first described as a complication of intestinal infection. It is now known that not only Salmonella and Schigella, but also the pathogens of sex infections. However, sometimes it happens that the connection between the Reiter syndrome and the infection cannot be established.
    Most often Reiter syndrome cause chlamydia,
    which fall into the body with sexual contact without a condom.
    Then microorganisms are spread with blood flow to other organs and
    Systems.



    Symptoms of Reuters syndrome

    The incubation period in the Reiter syndrome is 1-2 weeks.
    The disease begins with inflammation of the urethra
    (urethriter), which is manifested by pain in urination. but,
    Sometimes urethritis leaks hidden, without unpleasant sensations and manifests itself
    Only in urine change in a laboratory study. After 1-2 weeks,
    and sometimes a few months later, pain in the field of large
    joint, more often knee, skin over it gets hot to the touch.
    Gradually, the pain in the joint is enhanced, its swelling appears.
    Then the other joint (ankle or stop joints) is affected).

    IN
    Average in the inflammatory process is involved 4-5 joints. Self-sex
    The patient is worsening, the body temperature rises. Against this background, often
    Eye damage occurs in the form of conjunctivitis (inflammation of the mucous
    Eye shell). Each second patient develops skin defeat
    On the sexual cock and mucous membrane of the oral cavity with ulcers.
    Red spots appear on palms, soles or on the whole skin. They are
    Tall crust is covered. Frequently amazed nails (thickening,
    literation).



    Diagnostics and treatment of Reiter syndrome

    When suspected of the Reiter syndrome, I urgently go to the doctor. It can be a specialist rheumatologist
    or infectiousist. Preliminary diagnosis is made after inspection
    Patient: Combination of inflammation of joints, inflammation of the urogenital system
    and eye - the main criterion. In the clinical analysis of blood in patients detect general signs of inflammation. In the diagnosis of Reather syndrome, immunological tests have great value
    blood. Chlamydial (or some others) are found in the blood
    antibodies. It is also necessary to find the causative agent of infection in the material,
    taken from the urethra, the mucous membrane of the eye or from the joint. PCR analysis on infection is prescribed

    Treatment is conducted in two directions. First - deliverance from infection,
    What is the patient prescribe antibiotics. Second - the treatment of affected
    organs. For this purpose, unnecessary anti-inflammatory
    Preparations (indomethacin), cytostatic (azatioprine, methotrexate),
    Glucocorticoids (prednisone).
    With the right approach, recovery occurs no earlier than through
    four to six months. Reiter syndrome often has a long course,
    poorly treatable. In 50% of cases, repeats are noted, and in 25% -
    The disease acquires a chronic course leading to disability.

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