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Syphilitic Arthritis


Presentation

  • Butterworth-Heinemann, ٢٢‏/١٠‏/٢٠١٣ - 326 من الصفحات A Synopsis of Rheumatic Diseases presents the study and practice of rheumatology. It discusses the aetiology, diagnosis, and management of the rheumatic disorders.[books.google.com]
  • Snapshot A 35-year-old man presents to the clinic after noticing an ulcer on his penis. He is unsure how long the ulcer has been present, as he has not felt pain in the area. He denies any symptoms of discharge, rash, or dysuria.[medbullets.com]
  • These are not mutually exclusive; hence, they can all be present together. However, some forms may be more dominant than the other.[dovemed.com]
  • Tertiary syphilis As the presentation is variable so the differential diagnoses are extensive but syphilis should be considered in anyone presenting with cardiac or neurological signs or symptoms.[patient.info]
  • Distension of the joint is present, and some increase in the density of the periarticular soft parts can be seen.[boneandspine.com]
Limb Pain
  • A chapter is devoted to the limb pain syndromes. Another section focuses on the cervical pain and brachial neuralgia. The book can provide useful information to radiologists, doctors, physical therapists, students, and researchers.[books.google.com]
Hemophilia A
  • Degenerative arthritis arises as a result of metabolic disturbance and includes gouty arthritis, arthritis accompanying Kashin-Beck disease and hemophilia, rheumatoid arthritis, degenerative (hypertrophic) arthritis (osteoarthritis), and arthritis resulting[encyclopedia2.thefreedictionary.com]
Photophobia
  • Untreated, photophobia is the most striking symptom often confining the patient to dark envorinoments until its spontaneous resolution months to a year or more later.[eyewiki.aao.org]
Arthritis
  • arthritis — Synonyms and related words: adenoiditis, adrenitis, appendicitis, arteritis, arthritis deformans, arthritis fungosa, arthritis pauperum, atrophic arthritis, atrophic inflammation, blennorrhagic arthritis, brain fever, bronchitis, bunion, bursitis[medicine.academic.ru]
  • Degenerative arthritis arises as a result of metabolic disturbance and includes gouty arthritis, arthritis accompanying Kashin-Beck disease and hemophilia, rheumatoid arthritis, degenerative (hypertrophic) arthritis (osteoarthritis), and arthritis resulting[encyclopedia2.thefreedictionary.com]
  • Etiology and pathogenesis ARTHRITIS(POLYARTHRITIS) SYPHILIS (ARTHRITIS. POLYARTHRITIS SYPHILITICA.[lecheniebolezni.com]
  • The arthritis associated with skin disorders is discussed. The text describes the neoplasms of synovial membrane and tendon sheaths. A study of the hereditary connective-tissue disorders and psychogenic rheumatism is presented.[books.google.com]
  • Track disease progression and treat patients more effectively with the information on genetic findings, imaging outcomes, cell and biologic therapies, rheumatoid arthritis, and SLE.[books.google.com]
Joint Effusion
  • Cardinal Findings: There may be large joint effusion, synovitis, joint instability, dislocation, and bony fragments with marked crepitus. Progression is variable. Two modes of presentation have been described: 1.[rheumaknowledgy.com]
  • Knees are most commonly affected by synovitis and joint effusions followed by the ankles, elbows, wrists, and fingers. It is usually painless and usually no disability associated with the joint swelling. Recovery is usually complete.[boneandspine.com]
  • An x-ray of the knee showed multiple abnormalities, including severe medial femorotibial joint-space narrowing, several large subchondral cysts within the tibia and the patellofemoral compartment, a large suprapatellar joint effusion, and a large soft-tissue[what-when-how.com]
  • Regardless of the cause, inflammation of the joints may cause pain, stiffness, swelling, and some redness of the skin about the joint.[britannica.com]
Arthralgia
  • Syphilis arthralgia (arthralgia syphilitica). Can meet soon after syphilis infection in the second and third period.[lecheniebolezni.com]
  • Intermittent arthralgias and myal-gias—but not arthritis—occur within days or weeks of inoculation of the spirochete by the Ixodes tick.[what-when-how.com]
  • Joint Lesions in Acquired Syphilis Arthralgia Arthralgia forms part of the clinical picture in the secondary stage. It may even appear before the early rashes. The pain is never severe and can often be more correctly described as an ache.[boneandspine.com]
  • Arthralgias simply are pains in the joints; as ordinarily used, the word implies that there is no other accompanying evidence of arthritis.[britannica.com]
Joint Swelling
  • This condition results in symmetrical joint swelling seen in patients with congenital syphilis. It is also known as symmetrical hydrarthrosis of childhood.[boneandspine.com]
  • Diagnostic methods In the diagnosis of such methods: a survey of patient complaints and history of disease; examination of the joints, which assesses the configuration of the joint, swelling, pain at palpation and movement, temperature, volume of movements[medicalj-center.info]
Joint Swelling
  • This condition results in symmetrical joint swelling seen in patients with congenital syphilis. It is also known as symmetrical hydrarthrosis of childhood.[boneandspine.com]
  • Diagnostic methods In the diagnosis of such methods: a survey of patient complaints and history of disease; examination of the joints, which assesses the configuration of the joint, swelling, pain at palpation and movement, temperature, volume of movements[medicalj-center.info]

Workup

Colitis
  • […] related words: abscess, adenoiditis, adrenitis, aposteme, appendicitis, arteritis, arthritis deformans, arthritis fungosa, arthritis pauperum, atrophic arthritis, atrophic inflammation, bed sore, blain, bleb, blennorrhagic arthritis … Moby Thesaurus colitis[medicine.academic.ru]
  • […] chorea Syphilitic arthritis Systemic lupus erythematosus (SLE) Takayasu's arteritis Tarsal tunnel syndrome Tennis elbow Tietse's syndrome Transient osteoporosis Traumatic arthritis Trochanteric bursitis Tuberculosis arthritis Arthritis of Ulcerative colitis[americanimagingpr.com]
  • Another type of arthritis is associated with chronic intestinal diseases— ulcerative colitis, regional enteritis, inflammatory bowel disease, cirrhosis, and Whipple disease.[britannica.com]

Treatment

  • Treatment. Treatment must be specific (see Treatment of visceral syphilis). An important and permanent place should take Popeye drugs.[lecheniebolezni.com]
  • Treatment consists of isolation of the factor causing arthritis or treatment of the disease that caused its development.[encyclopedia2.thefreedictionary.com]
  • Take advantage of expanded coverage of small molecule treatment, biologics, biomarkers, epigenetics, biosimilars, and cell-based therapies.[books.google.com]
  • If you’re receiving treatment for syphilis, do not have sex until your sores heal completely and you have completed your full course of antibiotic treatment.[healthline.com]
  • When running the process, the treatment may not give complete results. Only timely treatment to the doctor can prevent severe consequences such as destruction of the joint, immobility, disability.[medicalj-center.info]

Prognosis

  • […] favorable prognosis for patients diagnosed with either primary or secondary syphilis 20% of untreated patients with tertiary syphilis die of the disease prognosis for tertiary syphilis depends on extent of scarring and tissue damage with adequate treatment[medbullets.com]
  • Prognosis Prognosis for interstitial keratitis is good if recognized and treated early before significant corneal scarring has occurred.[eyewiki.aao.org]
  • Forecasting The prognosis depends on the timeliness and completeness of treatment. If it is started late, the mortality rate of complications is 30%.[medicalj-center.info]
  • Syphilis Prognosis Primary, secondary, and early latent syphilis can be treated successfully with antibiotics. Late latency (more than 1 year after the secondary stage) is difficult to treat.[healthcommunities.com]
  • MMWR Recomm Rep. 2015. pp. 64 Yli-Kerttula, T, Luukkainen, R, Yli-Kerttula, U, Möttönen, T, Hakola, M, Korpela, M. ” Effect of a three month course of ciprofloxacin on the late prognosis of reactive arthritis”.[rheumatologyadvisor.com]

Etiology

  • Etiology and pathogenesis ARTHRITIS(POLYARTHRITIS) SYPHILIS (ARTHRITIS. POLYARTHRITIS SYPHILITICA.[lecheniebolezni.com]
  • Bacterial etiologies: Syphilis, Lyme Disease, Tuberculosis, Leprosy, Brucellosis, Leptospirosis Viral etiologies: Herpesviridae - Herpes simplex, Herpes Zoster, Epstein- Barr.[eyewiki.aao.org]
  • The classification was based on etiological (causal), pathogenetic (according to the mechanism of evolution), and clinical-anatomical principles. The disease of one joint is monoarthritis; of several joints, polyarthritis.[encyclopedia2.thefreedictionary.com]
  • Patterns of joint involvement differ according to etiology. —Diabetic neuroarthropathy: The tarsometatarsal joint is commonly affected (less commonly, the ankle and metatarsophalangeal joint).[rheumaknowledgy.com]
  • Location Sensorimotor and autonomic neuropathies of various etiologies are the primary predisposing factor.[radiopaedia.org]

Epidemiology

  • Introduction Classification Treponema pallidum spirochete Epidemiology demographics most common during years of peak sexual activity most new cases in men and women aged 20-29 years recent rise in syphilis cases among MSM community co-infection of syphilis[medbullets.com]
  • Epidemiology There are an estimated 10.6 million incident cases of syphilis worldwide each year [ 2 ]. There were 5,288 new diagnoses of syphilis in England in 2015, a 19.9% increase from 4,412 in 2014.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology The pathophysiology of interstitial keratitis is unknown, but varies significantly by eitology.The majority of bacterial and parasitic IK is a result of direct invasion of the corneal stroma and the host's allergic/ immune reaction to[eyewiki.aao.org]

Prevention

  • In the prevention of arthritis, sanitation measures for work and daily life are very significant.[encyclopedia2.thefreedictionary.com]
  • Congenital syphilis can be prevented by treating the mother for syphilis during pregnancy.[everydayhealth.com]
  • They have to be also aware of the preventive measures and precautions to be taken, which include: Avoidance of multiple sex partners Practice of safe sex (use of condoms that prevent entry of the syphilis bacteria) Excessive craving for drugs and alcohol[dovemed.com]
  • The use of a condom during sexual intercourse helps prevent the spread of syphilis, but chancres can be on areas of the body that are not covered by the condom.[healthcommunities.com]
  • You can prevent getting secondary syphilis by getting treatment for primary syphilis before it develops into the secondary stage. You can also prevent getting primary syphilis by practicing safe sex practices, such as using a condom.[healthline.com]

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