recurrent rheumatism
Introduction
Introduction to recurrent rheumatism Recurrent rheumatism, also known as paroxysmal rheumatism, Hench-Rosenberg syndrome, Hench syndrome, and recurrent rheumatism. It is characterized by recurrent episodes of acute arthritis and inflammation around the joints, with no symptoms during the interval. The first onset is more common in 30 to 60 years old, and occasionally in childhood, there can be many people in the same family. Equal opportunities for men and women. basic knowledge The proportion of illness: 0.065% Susceptible people: more common in 30 to 60 years old Mode of infection: non-infectious Complications: edema
Cause
Cause of recurrent rheumatism
(1) Causes of the disease
At present, little is known about the etiology of this disease. Some people think that the immune process may be involved, but the real cause is still unclear.
(two) pathogenesis
At present, little is known about the pathogenesis of this disease, as some cases eventually develop into rheumatoid arthritis, and significant microvascular damage and a large number of cell debris and electron density deposits in the vessel wall are found in the joint synovial biopsy. Etc. Therefore, it is suggested that immune complexes may be involved in the pathogenesis of this disease. Immunoelectron microscopy is performed on the lesion nodules of PR patients, and immunoglobulins and complements are found in the vacuoles of vascular endothelial cells and perivascular tissue cells, thereby supporting immune complexes. The point of view of the disease.
Prevention
Recurrent rheumatism prevention
1. Remove infected lesions, pay attention to hygiene, strengthen physical exercise, and improve autoimmune function.
2. The law of life, work and rest, comfortable, avoid strong mental stimulation.
3. Strengthen nutrition, fasting and cold, pay attention to warming.
4. Early diagnosis, early treatment, adherence to physical therapy and physical therapy.
Complication
Recurrent rheumatic complications Complications edema
The disease can be complicated by edema and pain in the finger pad, heel and other soft tissues.
Symptom
Symptoms of recurrent rheumatism Common symptoms Low heat subcutaneous tissue edema feet redness swelling hot pain joint pain
The onset of each episode is sudden, often starting in the evening, involving 1 or 2 joints first. The pain in the affected joints is very obvious. It reaches a peak in a few hours. The affected joints and/or soft tissues around them can be seen red, swollen, hot and painful. The duration is very short. Generally, the pain disappears within 1 to 3 days. The longest period is no more than 1 week. There is no symptom during the interval. There is no clear regularity in the attack. Many people can have several episodes in one week. ~2 times, any joint can be affected, knee, wrist, shoulder, squat. Hand small joints are the most common, hip, elbow, foot, spine and temporomandibular joint are rare, recurrence is often limited to previously attacked joints Can also change the joints, in addition to the joints, can also be affected around the joints, such as finger pads, heels and other soft tissues edema and pain, individual patients have low fever during the attack, generally no systemic symptoms, occasionally licking and subcutaneous nodules, but It disappears faster and is hard to find.
Mainly rely on clinical manifestations, typical acute arthritis and periarthritis recurrence, no symptoms during the interictal period, no specific changes in X-ray examination, can diagnose rheumatic rheumatism, such as only mild episodes without redness, can not Diagnosis of the disease.
Examine
Examination of recurrent rheumatism
ESR and various acute reaction indicators can be increased during the attack. Synovial and synovial fluid examination revealed non-specific acute inflammatory reaction, but no crystallization. Synovial biopsy showed obvious microvascular damage. Serum levels in serum and synovial fluid did not decrease. The above indicators are within the normal range during the interim period.
X-ray examination during the attack, except for swelling of the affected joint tissue, no other abnormalities.
Diagnosis
Diagnosis and diagnosis of recurrent rheumatism
The disease needs to be differentiated from rheumatoid arthritis.
Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by chronic aggressive arthritis. Rheumatoid arthritis is characterized by synovitis, and the resulting articular cartilage and bone destruction, which ultimately leads to joint deformities. The clinical manifestations of rheumatoid arthritis are diverse, most of which are slow insidious onset, a few acute onsets, and seizures and remissions alternate.
