Tuberculosis toxic-allergic arthritis (tuberculosis ponce)

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Joints in tuberculosis can be surprised not only by the direct causative agent of the disease, but also due to the pathological response of the organism to the tuberculosis process in other organs.

Features of the development of Ponce TB

As a rule, this process develops against the background of the latent tuberculosis process of the respiratory organs, lymph nodes and other localizations. In this case, the toxins during each exacerbation of tuberculosis increase the level of allergy in the patient's body, and in the first place, the synovial joint of the joints reacts to it - in it develops manifestations of synovitis, as well as conjunctiva of the eye - in it the process proceeds in the form of conjunctivitis.

The onset of the disease is most often provoked by an acute (cold) infection, which further weakens the body and at the same time promotes the change of immune-allergic status. In this case, the severity of inflammatory processes is exclusively individual in nature and can vary in a wide range: from a small synovitis to the phenomena of arthralgia to destructive changes in the joints.

The main manifestations of TB toxicity-allergic arthritis

Very often the onset of the disease is preceded by pain in one or more joints. In half of all cases, arthritis begins acutely or subacutely, with fever, increased sweating, weakness, severe pains in the joints with edema, an increase in skin temperature over the joints and its redness, and a limitation of the volume of movement. But unlike rheumatoid arthritis, there are no subcutaneous rheumatoid nodules and symmetrical joint damage. At the same time, in all patients, as a rule, are detected primary tuberculosis centers, the limitation period of which can be from one year to several decades.

Most commonly, Ponce tuberculosis suffers from radial and ankle joints, interphalangeal joints and knee joints and, as a rule, do not inflamerate shoulder and hip joints. In 40-50% of all cases, arthritis is accompanied by diseases of the spine (spondylitis).

Disease outlook

Ponce tuberculosis prognosis is relatively favorable in timely diagnosis and treatment, although in 20% of cases, patients develop gross deformities of the joints and even their ankylosis.

Diagnosis of tuberculous toxic-allergic arthritis

  • X-ray examination of joints (in half of patients there is osteoporosis, extremity defects of articular surfaces - stupture, narrowing of articular cracks, ankylosis of the fibrous arteries), chest organs.
  • In the blood - anemia, a decrease in the number of leukocytes (leukopenia), elevated levels of eosinophils, an increase in ESR.
  • Mycobacterium tuberculosis from synovial fluid in affected joints is not detected.

General Principles of Tobacco Ponce Treatment.

  • When exacerbation of the process - a sparing mode with limitation of motor activity (if necessary, use special fixing bandages, bandages or ligaments on the patient's joints), a high-grade diet rich in proteins and vitamins.
  • Chemotherapy for tuberculosis, aimed at the treatment of primary tuberculosis, which is carried out not only during inpatient and outpatient treatment, but also during the period of sanatorium treatment.
  • Non-specific anti-allergic therapy, therapy with analgesics and anti-inflammatory nonsteroidal drugs.
  • Physiotherapy, local therapy, reflexology.
  • With the ineffectiveness of conservative therapy, in the case of overdue cases, when expressed deforming arthrosis with ankylosis, they resort to surgical treatment.

Tuberculosis toxic-allergic arthritis (tuberculosis ponce)

Category Of Medical Issues: Diseases

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