Reactive arthritis in children. Genetic predisposition. Reactive pancreatitis, treatment

Arthritis refers to the inflammatory process in the joint, occurring mainly in its synovial membrane (the film lining its articular cavity from the inside).

According to statistics, this disease is detected in 80-90 children for every 100 thousand. In many cases, diagnosis of the disease is difficult, because of the ability of pathology to take various forms.

Reactive arthritis in children develops as a complication of previously transmitted genitourinary or intestinal infections.

It should be noted that this disease is characterized by a certain "sterility". In other words, despite the fact that recently the child had an infection, there are no harmful microorganisms in the joint cavity. However, this moment is not considered positive. The fact is that the cell wall of a pathogenic (pathogenic) microorganism activates lymphocytes, which secrete antibodies in large quantities. With the help of these antibodies, immune complexes are formed, which also provoke inflammation. However, reactive arthritis in children develops only in the case of a combination of two factors: the penetration of infection (dysentery, salmonellosis, pseudotuberculosis, chlamydia and others) and the presence of a genetic predisposition to joint pathologies. In this case, after about one to four weeks after the infection has been removed (the child's recovery), the joints suddenly begin to ache.

Reactive arthritis in children is accompanied by swelling, redness, there is a violation of motor functions (for example, fingers stop listening). This pathology differs asymmetry. For example, reactive arthritis in children can affect the left knee and right ankle joint. Among other features of the disease, a limited number of foci are also isolated - up to four, maximum. The classic manifestation of reactive arthritis is Reiter's syndrome, manifested by inflammation in the joints (arthritis), urethra, and also the mucous eyes (conjunctivitis).

When you touch the focal articular inflammation in them, you feel an elevated temperature, relative to other parts of the body. There is redness of the skin, in some cases it is covered with scaly, dry plaques, which after a while self-destruct.

For an accurate diagnosis of the disease, the doctor prescribes tests aimed at detecting a possible infection in the body.

Treatment of reactive arthritis, in the first place, implies complete rest. In this case, parents need to create such conditions under which any tension in the joints of the child will be ruled out.

The doctor may prescribe anti-inflammatory drugs of the non-steroid group. These include Diclofenac, Ibuprofen, Nimesulid and others. These drugs can restore the mobility of joints, reducing pain and inflammation.

In addition, treatment with reactive arthritis is prescribed antibiotics. However, their appointment is advisable only in certain cases (with chronic or recurrent form of detected chlamydial or intestinal infection and others).

Hormonal preparations can also be prescribed. These drugs are used in severe cases in the absence of the effect of using non-steroid drugs.

Physiotherapy is of great importance in the treatment of arthritis of the reactive form.

Genetic predisposition is one of the provoking factors in many diseases. These include and reactive pancreatitis. It should be noted that the pathology also occurs against the background of gastrointestinal diseases, exacerbations of hepatic diseases. In some ways, reactive pancreatitis, whose treatment includes compliance with the diet, is a reaction of the body to failures in the work of other organs.