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]
Case presentation A 69-year-old man presented to our hospital in August 2004 for an evaluation due to one month history of right knee joint pain with fever, and two plaques showing on his abdomen and scalp for 10 and 2 years, respectively. [bmcinfectdis.biomedcentral.com]
Patients may present with CNS vascular insufficiency or outright stroke. [emedicine.medscape.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]
Entire Body System
- Fever
[…] 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]
Click the link for more information., rheumatic fever rheumatic fever, systemic inflammatory disease, extremely variable in its manifestation, severity, duration, and aftereffects. [encyclopedia2.thefreedictionary.com]
Physical examination on admission revealed a fever of 38.5°C. [bmcinfectdis.biomedcentral.com]
83 Meningococcic arthritis 86 Suppurative arthritis 88 Rat bite fever 89 Rarer forms of specific infectious arthritis 90 Mycotic diseases of joints 92 Rheumatic fever 93 Rheumatoid arthritis 111 Osteoarthritis 143 Backache and sciatica 147 Rheumatoid [annals.org]
In addition, there may be rashes or fevers, and the disease may affect various parts of the body. Fibromyalgia Fibromyalgia is a pain syndrome that has systemic affects. [news-medical.net]
- Inflammation
[…] 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]
Common conditions treated with aspirin include headache, muscle and joint pain, and the inflammation caused by rheumatic fever and ..... [encyclopedia2.thefreedictionary.com]
Arthritis is typically characterized by inflammation and loss of function of one or more joints of the body. [news-medical.net]
History Patient history includes an assessment of the acuity of a patient's chief complaint related to their corneal inflammation. [eyewiki.aao.org]
Inflammation of the spine and joints is called spondylitis. Bursitis Inflammation of a synovial bursa, the lubricating sac located over a joint or between tendons and muscles or bones, is called bursitis (or bursal synovitis). [britannica.com]
- Reiter Syndrome
The arthritis often is coupled with other characteristic symptoms; this was previously referred to as Reiter's syndrome, Reiter's disease or Reiter's arthritis. [en.wikipedia.org]
Venereal arthritisReiter's syndrome] 5. [aqigodigo.wapgem.com]
Polyarteritis nodosa Polymyalgia rheumatic Polymyositis Popliteal cysts Posterior tibial tendinitis Pott's disease Prepatellar bursitis Prosthetic joint infection Pseudoxanthoma elasticum Psoriatic arthritis Raynaud's phenomenon Reactive arthritis/Reiter's [americanimagingpr.com]
Although it is well known that both gonococcal and nongonococcal infections may lead to aseptic “reactive” arthritis or Reiter’s syndrome [ 17 ], reactive arthritis due to syphilitic infection is quite rare. [bmcinfectdis.biomedcentral.com]
[…] fever and night sweats with severe pains in the muscles and joints Polymyalgia rheumatica – an inflammatory condition causing muscle pain and stiffness usually of the shoulder region Pott's disease – tuberculosis of the upper spine Reactive arthritis/Reiter's [news-medical.net]
- Anemia
The liver and skeleton are possible sites of infection; such infections are characterized by fever, jaundice, anemia, and/or nighttime skeletal pain. [emedicine.medscape.com]
[…] neurosyphilis / tabes dorsalis (more common in the past; most commonly affects the knee) traumatic spinal cord injury (most common cause in the spine) 12 alcoholism tumors compressing or involve the spinal cord or peripheral nerves amyloidosis pernicious anemia [radiopaedia.org]
If there is significant weight loss, anemia, and overall severe decrease in health but not complete incapacitation, or if severe incapacitating episodes happen 4 or more times a year, then it is rated 60%. [militarydisabilitymadeeasy.com]
Some people show signs of anemia and jaundice. This syndrome is called secondary syphilis and it can come and go for a year or two. For as long as the rash is present, a person with secondary syphilis is contagious. [medbroadcast.com]
Rheumatoid arthritis is not only a disease of the joints; fatigue and anemia indicate that there is a more generalized systemic involvement. A slight fever may sometimes be present. Lesions also occur in sites outside the joints. [britannica.com]
- Fishing
Do not use substances that can affect your circulation These fish oils are daily natural arthritis remedies used as part of a dietary supplement routine. [transilvaniagallery.eu]
"I have a couple of patients who are up fishing in Canada right now, and they've had [the disease] for 30 years." [consumer.healthday.com]
Fish as Medicine for Rheumatoid Arthritis.BFS; N74.2* Syphilitische Entzündung im weiblichen Becken (A51.4†, A52.7) ergibt keine Präzision zum Textinhalt des Arthritis-Kodes M00.2– Arthritis.INFECTION-RELATED ARTHRITIS. Carlos D. [ufafofoyehajerezogeg.xpg.uol.com.br]
Jaw & Teeth
- Oral Ulcers
Non-articular exam findings may include conjunctivitis or uveitis (former being more common) and oral ulcers. [rheumatologyadvisor.com]
Common findings include oral ulcers that come and go. In some cases, these ulcers are painless and go unnoticed. [en.wikipedia.org]
Only a minority of these patients have the other findings of classic reactive arthritis, including urethritis, conjunctivitis, uveitis, oral ulcers, and rash. [what-when-how.com]
Chronic inflammatory synovitis with erosion or destruction of the jointTreatment: Oral doxycyclin Oral amoxycillin plus probenecid, over a period of 3 to 4 weeks Parenteral cefriaxoneViral arthritis:Common viral disorder that may be accompanied [slideshare.net]
Cardiovascular
- Heart Disease
It is frequently followed by serious heart disease, especially when there are repeated attacks. Rheumatic fever usually affects children. ..... Click the link for more information. ). [encyclopedia2.thefreedictionary.com]
Repeated attacks over many years are common, and patients sometimes end up with chronic and disabling arthritis, heart disease, amyloid deposits, ankylosing spondylitis, immunoglobulin A nephropathy, cardiac conduction abnormalities, or aortitis with [en.wikipedia.org]
Autoimmune and connective tissue diseases, viral infections, pregnancy. TPPA - rheumatic heart disease. [health.gov.au]
Skin
- Skin Disease
Inflammatory joint diseases: types of arthritis Arthritis is a generic term for inflammatory joint disease. Regardless of the cause, inflammation of the joints may cause pain, stiffness, swelling, and some redness of the skin about the joint. [britannica.com]
External links [ edit ] eMedicine Questions and Answers about Reactive Arthritis - US National Institute of Arthritis and Musculoskeletal and Skin Diseases [en.wikipedia.org]
That includes most diseases of a chronic nature, all skin diseases, most mental illness other than syphilitic ones, allergies, varicose veins, haemorrhoids, most dysfunctional diseases of organs and systems, etc. [homeoint.org]
- Dermatitis
[…] most common and accounts for >50% of cases MRSA staphylococcus epidermis neisseria gonorrhea account for ~20% of cases most common organism in otherwise healthy sexually active adolescents and young adults manifests as a bacteremic infection arthritis-dermatitis [orthobullets.com]
A dermatitis-arthritis syndrome, purulent monarthritis, and reactive polyarthritis have been described. All respond to treatment with IV penicillin. [what-when-how.com]
Musculoskeletal
- 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]
Regensburg Fall 1 Rheumatoide Arthritis, Hypothyreose Colocynthis. 12. Fall 2 Psoriasis Syphilitic arthritis Pronounciation. Learn how to say Syphilitic arthritis in English. Rheumatoid Arthritis. [aqigodigo.wapgem.com]
Tertiary Syphilitic Arthritis (Gummatous Arthritis).5. [ufafofoyehajerezogeg.xpg.uol.com.br]
- 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]
Waxing and waning arthralgias 3. [slideshare.net]
[…] hepatitis), the CNS (headache, meningitis, cranial neuropathy, iritis, and uveitis), and the musculoskeletal system (arthritis, osteitis, periostitis). 4 Patients also may have constitutional symptoms such as fever, malaise, generalized lymphadenopathy, arthralgias [aafp.org]
- Joint Effusion
joint effusion in large joint such as hip can be used in guiding aspirations MRI indications detects joint effusion, and may detect adjacent bone involvement such as osteomyelitis Studies Serum labs WBC >10K with left shift ESR >30 ESR is often elevated [orthobullets.com]
There is often an insidious chronic history of joint problems, usually involving weight-bearing joints. Joints are typically swollen from effusion or exaggerated osteoarthritic changes. [rheumaknowledgy.com]
It affects the upper limbs more frequently than the lower and is often associated with an effusion into the adjacent joint. [boneandspine.com]
Clutton’s joint, a late manifestation of congenital syphilis that typically develops between the ages of 8 and 15 years, is caused by chronic painless synovitis with effusions of large joints, particularly the knees and elbows. [what-when-how.com]
Effusion of fluid into the joint cavity is common, and examination of this fluid is often a valuable procedure for determining the nature of the disease. [britannica.com]
- Back Pain
Osteoarthritis of the Spine – Back Pain Neck Pain Lower This overview includes osteoarthritis symptoms and options for osteoarthritis treatment. [transilvaniagallery.eu]
It can result in a loss of height, severe back pain, and change in posture. [disabled-world.com]
Patients report painful, asymmetric oligoarthritis affecting mainly the knees, ankles, and feet. Low-back pain is common, and radiographic evidence of sacroiliitis is found in patients with long-standing disease. [what-when-how.com]
- Joint Swelling
It usually involved two or more joints, especially the knees and often in a symmetrical manner. The joint contains abundant fluid and there is swelling of the synovial membrane. Pain is of a moderate nature. [boneandspine.com]
The process often with multiple joint involvement (small and large), has a relapsing course, but joint destruction is not typical. Appears limitation of motion, pain, swelling. [medicalj-center.info]
Radiological examination: Early stage: Soft tissue shadows of joint swelling can be seen. Late stage: Joint space is narrowed with irregularity of joint margins. Ocassionally there may be a subluxation or dislocation of the joint. B. [slideshare.net]
Neurologic
- Paresis
Paresis and dementia, with changes in personality and intellect, may develop. [emedicine.medscape.com]
[…] early and late latent syphilis Complications Jarisch-Herxheimer reaction flu-like syndrome after starting treatment for syphilis due to toxins released by killed T. pallidum complications of tertiary syphilis aortic insufficiency tabes dorsalis general paresis [medbullets.com]
[…] four times daily for 4 weeks Tertiary (late) syphilis Gummatous disease, cardiovascular disease Nontreponemal tests (71% to 73%) Treponemal-specific tests (94% to 96%) Same treatment as for late latent syphilis Neurosyphilis Seizures, ataxia, aphasia, paresis [aafp.org]
[…] unspecified 2016 2017 2018 2019 Billable/Specific Code Applicable To Infection due to Treponema pallidum NOS Syphilis (acquired) NOS Type 1 Excludes syphilis NOS under two years of age ( A50.2 ) cerebral A52.17 ICD-10-CM Diagnosis Code A52.17 General paresis [icd10data.com]
- Stroke
People with tertiary syphilis may experience: meningitis strokes dementia symptoms loss of co-ordination numbness vision problems or blindness heart problems Syphilis is still treatable at this stage, but it's sometimes not possible to reverse any damage [nhs.uk]
Patients may present with CNS vascular insufficiency or outright stroke. [emedicine.medscape.com]
Complications of syphilis may also include such cardiovascular and neurological problems as: Stroke Meningitis Hearing impairment Visual impairment Dementia or memory loss Syphilis in pregnant women can result in miscarriage, stillbirth, or death of the [everydayhealth.com]
Workup
Since staphylococcus epidermidis is a common human skin flora and there is no evidence of immunocompromise in our patient by repeated extensive lab workup, we deduced a false positive synovial fluid culture which misled treatment as for joint bacterial [bmcinfectdis.biomedcentral.com]
Treatment
Treatment. Treatment must be specific (see Treatment of visceral syphilis). An important and permanent place should take Popeye drugs. [lecheniebolezni.com]
Treatment of Syphilis FIGURE 1. Recommended approach to the treatment of syphilis. [aafp.org]
Standard treatment regimen seems to be not effective. Prolonged and repeated treatment with penicillin as well as combined antibiotics may be needed to achieve a complete clinical and serological resolution of the disease. [bmcinfectdis.biomedcentral.com]
Treatment consists of isolation of the factor causing arthritis or treatment of the disease that caused its development. [encyclopedia2.thefreedictionary.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]
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]
[…] occur by 8 hours caused by release of proteolytic enzymes from inflammatory cells (PMNs) microbiology most common pathogens is staphylococcus aureus (accounts for >50% of cases) see Classification below Associated conditions prosthetic implant infection Prognosis [orthobullets.com]
Etiology
Bacterial etiologies: Syphilis, Lyme Disease, Tuberculosis, Leprosy, Brucellosis, Leptospirosis Viral etiologies: Herpesviridae - Herpes simplex, Herpes Zoster, Epstein- Barr. [eyewiki.aao.org]
Etiology and pathogenesis ARTHRITIS(POLYARTHRITIS) SYPHILIS (ARTHRITIS. POLYARTHRITIS SYPHILITICA. [lecheniebolezni.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]
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]
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]
Introduction Epidemiology body location most commonly affected joints in descending order knee (~ 50% of cases) > hip > shoulder > elbow > ankle > sternoclavicular joint found in IV drug users pseudomonas aeruginosa was most common pathogen in 1980's [orthobullets.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]
Epidemiology [ edit ] Because women may be underdiagnosed, the exact incidence of reactive arthritis is difficult to estimate. A few studies have been completed, though. [en.wikipedia.org]
Epidemiology The incidence of syphilis decreased significantly with the introduction of penicillin in the 1940s but rose sharply again with the advent of human immunodeficiency virus (HIV) infection in the 1980s. [aafp.org]
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]
[…] most common pathogen in all patients, including IV drug users risk factors age > 80 years medical conditions diabetes rheumatoid arthritis cirrhosis HIV history of crystal arthropathy endocarditis or recent bacteremia IV drug user recent joint surgery Pathophysiology [orthobullets.com]
Prevention
Congenital syphilis can be prevented by treating the mother for syphilis during pregnancy. [everydayhealth.com]
الصفحة 98 - ... intensified by selective breeding, and still see that the hereditary tendency is not the disease itself, that the usual exciting factors must be brought into play, and that in hereditarily predisposed subjects the preventable factors may [books.google.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]