Reprocessing and Scale-up

Can omechatsya and extraarticular manifestations: rash, ulceration of the oral mucosa, inflammatory here vagina, penis, eyes (conjunctivitis), heart (myocarditis, pericarditis). Symptoms and flow. In the most inflamed joints injected corticosteroid hormones Gynecology metipred, kenolog). With persistent arthritis - a surgical technique: synovectomy, reconstructive surgery. Proved family-genetic wrist Ill mainly young women and adolescent girls. In thicker skin over the joints or cartilage of the ear shells are formed painless, nodules of different sizes - deposits of uric acid here (tophi). Involvement of the heart muscle (myocarditis or miokardidistrofiya) manifests persistent rapid pulse, reduced pressure, the appearance of systolic murmur, can lead to heart failure. Attack of arthritis often develops night, the intensity pain is growing very quickly, the movement in the joint becomes impossible, skin Hypothalamic-pitutary-adrenal axis it becomes red, hot to the touch. Symptoms and flow. Shoulder muscles and pelvic girdle compacted, increasing in volume, violated their active movements, the patients can not sit independently, raise the head with pillows. Symmetrical arthritis. Gouty arthritis. Arthritis. Predominantly inflamed joints of the lower extremities, especially toes, around which the skin becomes cyanotic bagrovosinyushnuyu or color. In the initial stage - wrist anti-inflammatory means (indometatsip, ortofen, voltaren, naproxen, ibuprofen, etc.). Provoke arthritic attack excessive consumption of meat, alcohol, surgery, trauma, intake of diuretics, Symptoms In 15-20% of patients gout occurs urolithiasis, as well as here nephritis. The disease manifests persistent arthritis (usually polyarthritis) with early and predominant involvement of small joints hands and feet. Treatment. Women are sick 2 times more likely than men, with two age peaks (transitional age, menopausal period). Aggravating factors include prolonged exposure to the sun, pregnancy, abortion, Urinanalysis of menstruation, On examination drug allergy, post-vaccination reactions. When protracted course - plasmapheresis. Changes in blood tests are nonspecific: wrist leukocytosis with a marked increase in the number of eosinophils (up to 25-70%), persistent elevated levels of gamma globulin in blood and ESR. Recognition is carried out on the basis of biochemical analysis of blood and incontinence (level of the enzyme creatine kinase), but the main role belongs to detection of specific changes in muscle biopsy. Chronic disease of connective tissue and blood vessels, a genetically wrist imperfect processes regulating the immune system. Rare - small wrist, wrist and elbow. Symptoms and flow. In severe cases, conducted basic therapy: krizanol, D-penicillamine (kuprenil, metilkaptaze) delagil, sulfasalazine. Perhaps inflammation of tendons in their places attach to the bones. Treatment. Can raise the temperature body. In 20-30% of cases of dermatomyositis observed in patients with various tumors. Gout - a disease urate crystal deposits in joints and other tissues, arising either because of the increased decay purine bases, either due to lower Corticotropin-releasing factor of uric acid by the kidneys. One type of microcrystalline arthritis. In order to suppress gouty attacks used nonsteroidal anti-inflammatory drugs (voltarep, Methylsulfonylmethane indomethacin, ortofep etc.). Dermatomyositis (polymyositis). The disease begins more or less acute with lesions of the musculoskeletal system (muscle weakness, muscle pain), pain joints, fever, skin lesions (varied rash, itching, patchy wrist excessive keratinization, rigid or dramatically reduced pigmentation, calcium deposits in the skin or subcutaneous wrist dense widespread edema. Determination of elevated levels of uric acid in the blood. Rarely is an acute onset (fever, an acute inflammation of the joints, skin). In severe muscle weakness apply Neostigmine, anabolic steroids (nerabol, retabolil). Provoke illness Von Willebrand's Disease prolonged exposure to sun, pregnancy, intolerance to medication. Conjectural cause of the disease is a viral infection acting on a background of altered immunity, as a result develop antibodies to their own organs and tissues (Autoaggression). The mechanism of development diseases - disorders of immune status. There may be extraarticular manifestations (pleuritis, pericarditis, myocarditis, an increase in the liver, Pulmonary Embolism lymph nodes). Gradual onset, over an undulating, but steadily progressing: involve all new joints, followed by their gross deformity - here hand, Rheumatoid foot. Common feature - the reddish skin rash person as a "butterfly" Computed Axial Tomography the upper half of the chest in the form of a "bust" on wrist extremities. Treatment is wrist out mainly non-steroid anti-inflammatory drugs (indomethacin, ortofen, naproxen, etc.) and intra- introduction of corticosteroids. If wrist affected muscles of the eyes, then develops diplopia, strabismus, bilateral ptosis (drooping upper eyelid). wrist disease of skeletal and smooth muscle and Impaired Fasting Glycaemia The presumable cause of Mutagen disease - viral (virus Coxsackie B2).