Endemic Deforming Arthritis
(Internal Disease - Joints)
Endemic deforming arthritis - generalized osteoarthritis deformans with profound violation of the ossification process. Origin is unknown. It is believed that matter eating cereals contaminated by the fungus Fusarium sporotrichiella, or lack of calcium in water and soil. Well, they get children 6-14 years old. In the epiphysis of tubular bones develops a deep degenerative process (necrosis of cartilage, changes in articular surfaces with abundant marginal bone growths), leading to significant disfigurement of joints and bone dysplasia (short fingers, short stature).
Symptoms and flow. Characterized by slow progression of the disease with the gradual development of strains of small and large joints, the elbow flexion contracture, muscle atrophy, lordosis lumbar spine, stubby and short stature. Sometimes in a joint are severe pain and limitation of movement due to infringement of free intraarticular bodies - pieces of necrotic cartilage. Inflammatory changes in the joints are absent. Temperature and blood picture normal.
The X-ray - disfigurement and changing pattern spongy substance, epiphyses, flattening of joint surfaces, expressed Haygarth’s nodes.
Recognition on the basis of endemic disease, chronic progressive course, multiple strains of joints with stubby and stop the growth of the patient, the typical X-ray pictures.
Treatment. In order to reduce pain and improve function of joints used methods of physiotherapy and balneotherapy - general radon and hydrogen sulfide baths, paraffin and mud wraps. Effective treatment with brine and radioactive baths. In the early stages of the disease used fish oils, preparations of calcium and phosphorus (Calcium gluconate at 0.5 g 3-4 times a day, Phytin 0,5 g to 3 times a day).
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