Reactive arthritis in children
The so-called reactive arthritis in children is the result of complications of various infectious diseases of the urinary, intestinal and respiratory systems. While disease-causing germs into the cavity of the articular pouches, which leads to their inflammation, fatigue. Often it is accompanied by a narrowing of the space between the cartilages. What symptoms indicate progression of the disease in the child, and what should be done in such situations?
The reasons for the development of reactive arthritis
Reactive arthritis is an infectious or viral disease. Develops on the background of the untimely cessation of therapy of the primary disease. If this diagnosis indicates that the baby is healthy, but in fact his body maintains a certain concentration of bacteria. Those, in turn, is located in the region of the articular bags, hitting the bone and connective tissue. Most often this occurs in the hip, knee, shoulder, elbow joints. Can be complemented by a sharp increase in body temperature up to 39 degrees, and also redness in the area of damaged articular bags.
Dangerous childhood arthritis that can provoke a speedy wear of the affected areas of the skeleton. All this leads to the fact that the bones are not healing correctly, and the mobility of the cartilage is deteriorating. The child during physical activity causing pain, lameness, swelling of muscles, swelling of the lower extremities. This is complemented by a decreased appetite, rapid loss of weight, very fatigue even when walking.
During this period the body is the following:
- the concentration of infection increases again;
- due to the decrease in free space between the connective cartilage inflamed area of the joint capsule;
- reduced elasticity of the affected joint.
Symptoms develop at lightning speed. Literally 3 days after appearance of the initial symptoms baby cannot properly move, and the pain is constantly increasing.
The clinical picture (pathogenesis)
Most often the disease is accompanied by damage to the hip joint. The patient becomes sedentary, most of the time in semi-prone position: pain partially docked in this position. The primary symptoms develop into acute form, when the concentration of bacteria increases and they hit the cartilage.
In this stage arise muscle inflammation, aktiviziruyutsya the process of destruction of the joint. Someone in the background of this bent posture, in others there are signs of scoliosis. The load of the hip joint spine only accelerates the process of destruction of cartilage. When the curvature they begin to calzinirovnie, turning into a rigid fixed connection.
The same thing happens in reactive arthritis of the knee joint. Symptoms may be complicated with symptoms of varicose veins. The reason for this response is a compression of the joint capsule-nourishing blood vessels that disrupts normal blood flow.
Assuming the transition of the acute stage of the disease into a chronic one, it starts the process of destruction of cartilage. The consequences can be very severe, ranging from lifelong lameness, finishing with a disability.
Replace the damaged portion of joint cartilage in a child until 21 years is impossible (as the bone continues to grow). Doctors propose to install temporary artificial prostheses, but it is only a short-term solution to the problem. And complete destruction of the hip or any other joint will take only 2-6 months.
Treatment of reactive arthritis
Treatment of reactive arthritis in children diagnosis and mandatory blood tests to identify strains of a virus or infection, which led to such complications. After the causes of the disease: conservative treatment is appointed or issued direction to the traumatologist. It is worth mentioning that in children reactive arthritis is a progressive disease with a high risk of recurrence.
That implies the treatment of a child? Antibiotics in conjunction with a comprehensive vitamin-mineral complexes. If the age — toddler, it is recommended to attend physical therapy sessions to recover its mobility. If over time the symptoms only increase, at the discretion of the doctor prescribed hormonal medications — pain in any case, you need to stop.
Conservative treatment includes:
- receiving broad-spectrum antibiotics (if the causative agent is infection);
- the purpose of the adjuvants;
- visit fizkabinet;
- intra-articular administration of glucocorticoids.
For doctors the main thing — to prevent more serious consequences. For this reason, it is recommended to provisionally apply the plaster to the damaged area. For the knee joint, you can use an elastic bandage pull (in the form of a bracelet).
In the acute phase of the disease can lead to deformation of the articular part. The reason is the violation of the integrity of the connective tissue, a sharp decrease in concentrations of organic bases and of calcium in the blood. All of this occurs cerebral palsy.
|If doctors confirm the risk, then immediately assigned to surgical treatment.||When the operation the knee joint as a temporary solution can be used titanium spokes.||Big trauma, there still is a partial or complete removal of the joint capsule and prosthesis.|
|For today practice and less radical methods such as treatment with ultrasound.||Its advantage is less trauma, no need to make cuts in the skin.||But this option is available only in the early stages of the disease. And, unfortunately, the tools for such manipulations is not in every hospital due to its high cost.|
The reasons for which is assigned to the operation is the excessive destruction of joint cartilage, the tendency to cerebral palsy or rickets, the initial stage of spinal curvature. But in children (approximately 15-17 years old) it is always possible to align the cartilages, bones. After it’ll be too late.