An arthral syndrome

Depending on character of damage of joints, activity of pathological process

Joints are movable connections of bones of skeleton with the presence

Reasons of defect or loss of cartilage :
mechanical abrasion (at

Arthral cavity:
it has the appearance of crack;
it contains the small amount

Principles of classification of joints:
by the number of arthral surfaces;
by a

Basic types of motions in joints:
motion about frontal axis is flexion

An arthrosis is a chronic disease joints of degenerative-dystrophic character with

pain appears at weight and calming down at peace,
limitation of

It is distinguished:
A primary arthrosis is a result of disturbance of

Secondary arthrosis is result of damage and develops in the already

International Classification of Diseases (ICD) of WHO -10 distinguishs next types

Arthropathy is secondary destruction of joints on a background of different

Inflammatory polyarthropathies include:
M05 Seropositive pseudorheumatism.
M06 Other pseudorheumatisms.
M07* psoriatic and

Arthritis is inflammation of joint having a traumatic, infectious or dystrophic

1. The inflammatory diseases of joints (can cause all 5 classes

4. Secondary arthropathies:
at disease of blood (haemophilia, leucosises and other),

During realization of differential diagnosis of diseases with arthral syndrome it

It is necessary to distinguish arthral pathology from the pain of

By duration of arthral syndrome is distinguished:
aqute (to З months),
subaqute (to

Anamnestic data allow to specify possible connection with stress, body weight,

Differentiation of inflammatory and noninflammatory damages of joints

Features of arthral syndrome at RHEUMATOID ARTHRITIS:
Symmetric polyarthritis with the damage

For the diagnosis of RHEUMATOID ARTHRITIS presence of 7 from 11

At infectious pathology the damage of locomotorium manifests by:
ossalgia,
arthritises,
osteoarthritiss,

Reactive arthritises at presence of infection out of joint.
Conditioned by the

Reiter's syndrome has next criteria:
Age to 40 years.
Aqute beginning of polyarthritis

Visceral manifestations: lymphadenopathy (the increase of inguinal lymphonoduss is typical), myocarditis,

At infections with bacteriaemia (pneumonia, infectious endocarditis, meningitis et al) on

purulent arthritis has next criteria:
Monoarthritis of genicular, hip, talocrural, radiocarpal, ulnar

Criteria of brucellosis arthritis :
Anamnestic pointing on a contact with a

8) At chronic brucellosisе pain in joints is more permanent. Paraarthritises, synovitiss,

Criteria of damage of joints at Lime disease :
endemic disease transferrable

Criteria of yersiniosis arthritis:
Yersiniosis has different clinical forms - intestinal, appendicitis,

Criteria of damage of joints at rubella:
Fever, general weakness, headache, typical

5) Arthritis after vaccination is mild and more often with localized in

Criteria of damage of joints at meningococcal infection:
At meningococcal infections(А39.8) meningococcal

Criteria of damage of joints at viral hepatitis B:
Arthritises in

Criteria of damage of joints at chronic viral hepatitis C:
Frequency

Criteria of damage of joints at epidemic parotitis:
The rare manifestation in

Criteria of damage of joints at HIV-infection:
Aqute beginning, reattacks, absence of

Vasculitis.
Septic arthritises.
Osteomyelitis.
purulent myositis.
"Rheumatism of soft tissues"(synovitiss, bursitis).

Criteria of tubercular arthritis :
It develops at hematogenic penetration from primary