post-dysentery syndrome
Introduction
Introduction to post-dysentery syndrome Postdysenteric Syndrome, also known as Reiter syndrome, Postenteric Rheumatoid, Oculourebroarticular Syndrome. More common in children, more common in men. Typical clinical manifestations are conjunctivitis, urethritis, arthritis triad, and more with skin damage. The cause of this disease is unknown and can be related to infection. basic knowledge The proportion of illness: the incidence rate is about 0.002% - 0.004% Susceptible people: more common in children, more common in men Mode of infection: non-infectious Complications: pleurisy, endocarditis
Cause
Causes of post-dysentery syndrome
The cause of the disease is unknown, and may be related to infection, including bacterial viral mycoplasma infection, part of a systemic complication after dysentery, some people think that it is related to allergic reaction, endocrine disorders, and others think that it is related to drug allergy, such as penicillin, sulfonamide, Salicylic acid preparation is allergic.
Prevention
Prevention of post-dysentery syndrome
This disease should pay attention to actively prevent infection.
Complication
Complications of post-dysentery syndrome Complications pleurisy endocarditis
The disease can be complicated by pleurisy, endocarditis, and toxemia.
Symptom
Symptoms of post-dysentery syndrome Common symptoms Loss of appetite, frequent urination, urgency, urinary pain, dysentery, irritability, dizziness, keratitis, triad, hematuria
Typical clinical manifestations are conjunctivitis, urethritis, arthritis triad, and more with skin damage.
1 conjunctivitis, the earliest appearance, short duration, often bilateral, can be conjunctival or conjunctival involvement, severe cases affect the conjunctiva, accompanied by conjunctival edema, periorbital swelling, occasional keratitis and iritis .
2 urethritis, urgency, frequent urination, dysuria, may have mucous-like secretions, severe hematuria, pyuria, dysuria, mucus-like secretions, hematuria, pyuria, cystitis, prostatitis However, urine bacteria culture has no bacterial growth.
3 arthritis is the main symptom of this disease, can occur in any joint, but the knee joint is more, manifested as joint swelling and pain, often symmetrical, similar to rheumatoid arthritis and ankylosing spondylitis, severe There is limited fluid accumulation in the joint cavity and limited limb activity.
4 skin and mucous membrane damage, the whole body skin and mucous membranes can be involved, more common in the palm of the hand and the head of the turtle, the typical lesions are bullous polymorphic erythema of varying sizes, the blister ruptured and smashed, and there is hyperpigmentation after healing, and Gradually subsided, a few on the basis of skin lesions appear epidermal release and erythema fusion into pieces.
In addition to the above main damage, it can be accompanied by symptoms of systemic poisoning, fever, body temperature up to 39 ° C, infants with febrile seizures, more chills, accompanied by loss of appetite, nausea and vomiting, diarrhea, irritability, headache, dizziness, etc. Sustained for 2 to 3 weeks, severe complication of pleurisy, endocarditis.
Examine
Examination of post-dysentery syndrome
1. The white blood cell count is often increased, the erythrocyte sedimentation rate is increased, white blood cells and red blood cells are visible in the urine, but the bacterial culture is negative.
2. X-ray examination showed swelling of soft tissue, hypertrophy around the joint, localized osteoporosis, chronic showed extensive new bone formation, and narrow joint space.
Diagnosis
Diagnosis and identification of post-dysentery syndrome
diagnosis
According to conjunctivitis, urethritis and arthritis triad, as well as typical skin changes to diagnose this disease is not difficult.
Differential diagnosis
The disease should be differentiated from rheumatoid arthritis and sinusitis.
