Poncet syndrome
Introduction
Introduction to Poncet Syndrome Poncetyndrome (Poncetsyndrome), also known as tuberculosis rheumatism, tuberculosis allergic arthritis, etc., is a cell-mediated allergic immune response caused by Mycobacterium tuberculosis toxin. basic knowledge Sickness ratio: 0.05% Susceptible people: no special people Mode of infection: non-infectious Complications: cervical lymph node tuberculosis
Cause
Cause of Poncet syndrome
Cause:
It is a cell-mediated allergic immune response caused by Mycobacterium tuberculosis.
Prevention
Poncet syndrome prevention
1. It is very important to maintain a good attitude, to maintain a good mood, to have an optimistic, open-minded spirit, and to be confident in the fight against disease. Don't be afraid, only in this way can you mobilize your subjective initiative and improve your body's immune function.
2, appropriate nutritional supply, under today's living conditions, should not be too much emphasis on high sugar, high protein, high vitamin and low fat diet. However, the nutrition should be balanced, and the vegetarian diet should be accompanied by vegetables, fruits, meat, egg milk, etc. The intake is determined by the fatness of the person.
3, daily life should pay attention to nutritional rationality, food as much as possible to diversify, eat high protein, multi-vitamins, low animal fat, digestible food and fresh fruits, vegetables, do not eat stale or irritating things, less Eat smoked, roasted, marinated, fried, salty foods, staple foods and coarse grains to ensure nutritional balance.
Complication
Poncet syndrome complications Complications, cervical lymph node tuberculosis
Joint involvement often involves effusion.
Symptom
Symptoms of Poncet Syndrome Common Symptoms Joint Pain Joint Ankylosis Irregular Heat Relaxation Heat Nodules Muscle Atrophy Tuberculosis Poisoning Lymph Nodes Tuberculosis Bleeding Herpes
1. Patients may have different degrees of fever, heat type is relaxation heat and irregular heat, most patients lack symptoms of tuberculosis.
2. Joint symptoms are multiple, migratory joint pain, acute joints often have redness, swelling, heat, pain, joint movement limitation and joint effusion, non-acute period is mostly joint cooling and acid The feeling of bloating, the change of the condition is obviously related to the change of the weather. Every time the cold or rainy day is aggravated, the main affected joints have fingers (toes), wrists, ankles, knees, shoulders, thoracic vertebrae and hip joints, etc. The facet joints are the most common, followed by the knee joints. There are three types of seizures: rheumatoid arthritis; rheumatoid arthritis; systemic joint and joint pain, from the joints of the small joints gradually affect the large joints, joint symptoms can be Repeated episodes, self-healing and recurrence tend to, but do not leave any joint stiffness and muscle atrophy.
3. Skin damage Most patients with skin damage, skin lesions have two manifestations: nodular erythema (NE) is more common, especially in patients with cervical lymph node tuberculosis and tuberculosis, NE occurs in the limbs, especially the calf extension side And the vicinity of the ankle joint, characterized by one after another or intermittent batch appearance, recurrence tends to be heavy, subcutaneous nodules are less common, and more coexist with NE, the distribution site is the same as NE.
4. Other rare manifestations include oral genital ulcers, herpetic conjunctivitis, myositis, synovitis, iritis, panniculitis and aortitis.
5. Primary tuberculosis is mostly tuberculosis, followed by cervical lymphatic tuberculosis. In addition, intestinal, renal tuberculosis, tuberculous pleurisy, endobronchial tuberculosis, epididymal tuberculosis, etc. can also cause the disease, tuberculosis activity or not with the joint Symptoms are not parallel, especially the old tuberculosis is not uncommon.
Examine
Examination of Poncet syndrome
Most of the blood routine was normal. The erythrocyte sedimentation rate increased slightly in 0.80 patients. A few were normal. The anti-streptomycin "O" was mostly normal, and the tuberculin was strongly positive reaction accounted for 0.80.
Chest X-ray examination can find all types of tuberculosis, a few can not find tuberculosis, the affected joints only see soft tissue swelling around the joints, no bone destruction, osteoporosis or hyperplasia, and no joint stiffness.
Diagnosis
Diagnosis and identification of Poncet syndrome
According to epidemiological characteristics, clinical manifestations, laboratory tests and other auxiliary examinations, ie diagnosis.
Joint involvement often involves effusion.
