What is allergic arthritis? Allergic arthritis in children: causes. Allergic arthritis - prognosis

Allergic diseases have different shapes and manifestations. Allergic arthritis is an inflammatory process in the joints due to exposure to allergens. The disease usually occurs against the background of a systemic allergic reaction or symptoms of damage to other organs and systems.

Children and people prone to allergies are more often affected by allergic arthritis. The disease can occur as acute or subacute inflammation of the joints. If diagnosed in a timely manner and taken therapeutic measures, pathological joint destruction can be stopped, recovery occurs without severe consequences for the body.

Causes

The occurrence of allergic arthritis is associated with increased sensitivity of the body to foreign proteins and their breakdown products.

The disease can be a consequence of any form of allergy and various allergens:

  • ( , and others);
  • medications (serums, injections, anesthetics);
  • cosmetics and;
  • air (plant pollen, chemical reagents,).

Allergens that enter the body interact with antibodies, forming immune complexes. They penetrate through the bloodstream and accumulate in the joints and cause inflammation.

Allergic arthritis is often caused by infectious diseases. Allergic mechanism Arthritis also develops due to exposure to rubella and hepatitis B viruses. This occurs under the condition immune disorders, When protective function the body is weakened.

Clinical picture

On early stages allergic arthritis has all the signs of allergic synovitis. Symptoms may be noticeable immediately after exposure to the antigen, but more often occur within a week of exposure. At first, the disease can be mistaken for the onset of a cold.

In the first stages of the development of the disease, the patient is concerned about:

  • malaise;
  • weakness;
  • tachycardia;

Sudden swelling of one or more large joints. The area of ​​inflammation becomes hyperemic. Joint pain and stiffness appear. After rest, the pain increases with movement or palpation. Noted local increase temperature.

At the next stage, elements similar to and accompanied by appear. Lymph nodes may become enlarged. In complicated forms of the disease, exudate accumulates in the joints and destructive processes occur.

Important! If you stop the action of the allergen on the joints, the symptoms may go away on their own within a few days. This can distinguish allergic arthritis from other joint inflammations. With repeated contact with the irritant, relapses of the disease are possible.

Rarely, the allergic form of arthritis is long-lasting. Usually it is caused by drug allergens. Except the strong pain and accumulation of fluid in the affected joints, the death of articular tissues can occur and the surface of the joints can be destroyed.

There are cases of respiratory organs being affected by allergic arthritis:

  • sneezing;
  • swelling of the nasal mucosa;

Allergic arthritis in a child

Arthritis is considered a disease of older people and is often diagnosed in children. Moreover, even infants are susceptible to the disease. The main cause of childhood arthritis is considered to be a defect in the immune system, as a result of which individual intolerance to certain allergens (food, drugs, pollen) develops. When a foreign agent enters the body again, it interacts with antibodies. The formed complexes are deposited in the joints and provoke an inflammatory process.

Manifestations of pathology in children are the same as in adults. But they occur more pronouncedly. More often in childhood Acute and subacute forms of the disease are diagnosed. Acute arthritis begins at lightning speed, the affected joints become severely swollen, and the patient’s general condition worsens. IN severe cases The larynx swells, bronchospasm develops. The subacute form may result from taking certain medications for several days in a row.

Consequently infectious process Infectious-allergic arthritis may occur in the child’s body. Its exact causes are still not fully understood. The development of this form of arthritis depends on the body’s sensitivity to a particular pathogen. infectious disease. The disease appears 10-15 days after the infection.

Distinctive symptoms of pathology

On a note:

  • As a rule, large joints are affected;
  • after a while, in addition to inflammation of the joints, systemic symptoms allergies;
  • the inflammatory process can go away on its own after the cessation of exposure to the allergen;
  • relapses may occur after repeated contact with the allergen or subsequent infectious disease.

Diagnostics

Difficulty of production correct diagnosis in the similarity of the manifestations of allergic arthritis with other diseases. Great importance has a connection between the development of joint damage and exposure to allergens.

The doctor must examine the patient and record the nature of the symptoms. Held general analysis blood, in which attention is paid to ESR and the number of eosinophils.

X-rays for allergic arthritis will not reveal pathological changes, since there is no destruction bone tissue. Ultrasound of the joints is informative for diagnosing allergic arthritis. You can detect expansion of the joint cavity, the presence of cloudy sediment and effusion. For final diagnosis, joint puncture and examination of exudate can be performed. If allergic arthritis occurs, eosinophils and immune complexes are found in the material.

Effective treatments

Allergic arthritis must be treated comprehensively. The treatment regimen will depend on the causes of the disease, its form and the severity of symptoms. The main task is to eliminate the provoking factor.

Drug therapy

If the reason acute inflammation has become an infectious agent, specific antibiotic therapy is prescribed for 7 days:

  • Erythromycin;
  • Amoxil;
  • Amoxiclav.

To relieve the intensity of the inflammatory process, NSAIDs are used:

  • Diclofenac;
  • Nimesil;
  • Ibuprofen.

In parallel with anti-inflammatory therapy, antiallergic therapy is carried out using antihistamines:

For local treatment Apply anti-inflammatory ointments to the area of ​​inflamed joints:

  • Diklak;
  • Dolgit;
  • Ketonazole;
  • Cynepar.

For subacute allergic arthritis, it is preferable to use steroid drugs:

  • Hydrocortisone;

Physiotherapeutic procedures

Physiotherapy will help speed up recovery:

  • paraffin therapy;
  • peat applications;
  • diathermy;
  • treatment with ozokerite.

In most cases, allergic arthritis can be treated favorably and does not cause permanent joint damage. To avoid relapses, it is necessary to exclude as much as possible the ingress of allergens that provoke inflammation.

If you have a history of allergic diseases, constant monitoring by an allergist is necessary. If it is necessary to use a particular drug, it is usually prescribed in parallel with. If precautions are not taken, the new penetration of the allergen into the body will cause more severe manifestations of the pathology.

Allergic arthritis is a reversible disease if detected early and treated early. The disease affects not only adults; it is often diagnosed in children as well. You need to be very attentive to the manifestations of allergic arthritis, and if there is the slightest change in the joints, consult a specialist.

There are two types of arthritis caused by an allergic reaction of the body: proper allergic arthritis and infectious-allergic arthritis, which should not be confused. Infectious-allergic and allergic arthritis have a similar course and symptoms. Let's consider both types.

Allergic arthritis

The cause of the development of allergic arthritis is a defect in the immune system, as a result of which a person develops an individual increased sensitivity or intolerance to certain food products, pollen, animal fur, some medicines and so on. When these allergens enter the body a second time, it produces antibodies that combine with foreign substance and are deposited in various tissues. When they are deposited in the joint tissue, an inflammatory process develops, accompanied by symptoms of arthritis.

When an allergen first enters the body, allergic arthritis usually does not develop: after the first allergen enters the body, an immune response to this substance is formed. People prone to allergies are susceptible to allergic arthritis: this is why allergic arthritis is most often detected in childhood.

Symptoms of allergic arthritis include:

  • acute onset of the disease, which manifests itself immediately when an allergen enters the body;
  • large joints are affected: pain is especially intensified when moving and after rest;
  • the affected joints swell, the temperature of the tissues above them is increased;
  • appears allergic rash on the skin and itching;
  • the disease may be accompanied by other allergy symptoms: angioedema, bronchospasm;
  • Nausea and vomiting, increased body temperature, diarrhea, and tachycardia are possible.

Diagnosis of allergic arthritis usually does not cause difficulties, since there is a clear connection between exposure to allergens and the occurrence of acute symptoms diseases. The history of a patient with allergic arthritis quite often includes bronchial asthma, food or drug allergies.

A general blood test shows a slight increase in ESR, number of eosinophils and leukocytes. The x-ray shows no changes in the tissues of the joints. In allergic arthritis, the tissue around the affected joints swells, and effusion and sediment appear in the joint fluid. Allergic arthritis can occur in acute and subacute forms.

In the acute form of allergic arthritis, the disease is manifested by severe swelling of the tissues around the affected joints and severe pain in them. The acute form of the disease can be complicated by angioedema, an attack bronchial asthma and so on. All symptoms characteristic of acute form allergic arthritis are quickly relieved with appropriate treatment.

The subacute form of allergic arthritis most often develops when taking medications to which a person individually develops intolerance. Treatment for this form of the disease requires the use of painkillers. medicines And hormonal drugs. At protracted current Allergic arthritis may cause irreversible changes in the joints - deformation of their surface, the appearance of foci of necrosis.

For the treatment of allergic arthritis:

1) it is urgent to stop the exposure of the patient to the allergen;

2) give the patient antihistamines (if antihistamines are ineffective, the doctor may prescribe hormonal drugs);

3) when severe pain non-steroidal anti-inflammatory drugs are prescribed for joints;

4) you need to provide rest to the affected joints.

Usually, when you start treating allergic arthritis with medications, all symptoms quickly go away, so there is no need to use physiotherapeutic methods of treatment. The prognosis for the course of the disease is favorable.

Preventing the occurrence of allergic arthritis is to prevent the allergen from entering the body in the future, since this threatens the development of allergic arthritis in a more severe form.

Infectious-allergic arthritis

The causes of infectious-allergic arthritis have not been fully established. It is believed that this type of arthritis is most often a reaction to an infection that develops in the nasopharynx. Infectious-allergic arthritis is also called postanginal polyarthritis and infectious rheumatism. Typically, infectious-allergic arthritis occurs in people with high sensitivity to the causative agent of a specific infectious disease. This type of arthritis can occur 10-15 days after an infectious disease.

Children are more susceptible to infectious-allergic arthritis than adults, and women are more susceptible than men. This disease was first identified and described in an adult.

With infectious-allergic arthritis in children, acute or subacute inflammation develops synovial membrane, involving several joints (both small and large joints can be involved in the inflammatory process). In this case, mild or moderate pain is observed in the joints.

The x-ray does not reveal any abnormalities in the joints, functional disorders no (no joint deformation). Synovial fluid in this disease has regular composition and viscosity. Inflammation of the joints passes after some time and disappears without a trace or residual effects, damage internal organs is not provoked by this disease.

With the acute onset of the disease, the patient’s temperature rises, an allergic rash may occur, and disturbances in the general condition of the body are noticeable. The ESR is increased in the body, the content of neutrophilic granulocytes, titers of streptococcal antibodies and eosinophils is increased in the blood. The disease goes away in 2-3 weeks.

At subacute course diseases pathological condition the body is observed for 4-6 weeks. In a blood test, deviations from the norm are usually mild.

A child with infectious-allergic arthritis may have the following symptoms:

  • refusal of food;
  • the child is constantly nervous and capricious;
  • walks with a limp, tries not to use his hands;
  • complains of pain in the arms or legs.

Infectious-allergic arthritis is not easy to differentiate from other forms of arthritis. Since methods for diagnosing this pathology have not yet been developed.

The diagnosis of infectious-allergic arthritis is made after excluding all similar diseases based on the absence of changes in the organs (except for inflammation in the joints themselves) and rapid regression. Infectious-allergic arthritis in rare cases can cause relapses. The prognosis for the course of the disease is favorable.

When treating this disease, the use of glucocorticoids or the injection of drugs into the joint will be unnecessary. To treat infectious-allergic arthritis, anti-inflammatory (aspirin or Brufen), antimicrobial and allergic reaction-inhibiting drugs (suprastin or diphenhydramine) are used. Antibiotics are prescribed penicillin or erythromycin (in case of intolerance to penicillin) for 7-10 days.

For prevention infectious-allergic arthritis, it is necessary to promptly and fully treat infectious diseases with mandatory sanitation of foci of infection. Especially when respiratory infections and streptococcal or staphylococcal nature– these pathogens are most often allergens, which provoke the development of infectious-allergic arthritis.

When differentiating allergic and infectious-allergic arthritis from other types of arthritis, a history of allergies of any nature or an infectious disease, respectively, plays an important role. At correct diagnosis and timely treatment, these diseases do not lead to damage to the joints or internal organs of a person. Therefore, it is extremely important to contact a qualified doctor at the slightest manifestation of symptoms of joint damage.

Arthritis is a condition characterized by inflammation of the joints, which can lead to serious complications of the bone and surrounding tissues. The disease is caused various factors. Allergic arthritis occurs due to the consumption of certain foods and medications that are affected by the immune system reacts in a very specific way.

Description of dystrophic pathology

What it is? The patient's body does not accept certain foods, as a result, the immune system begins to produce antibodies, increasing body temperature to fight infection. However, such immunological reactions can lead to various complications, including rheumatoid arthritis.

Infectious-allergic arthritis involves inflammation in the wrists, hands and legs, and the disease can also affect the shoulder, knee and hip joint. Millions of people around the world suffer from this disease. A large number of patients are susceptible to this condition due to their body's autoimmune reaction to certain foods and medications. Infectious or allergic rheumatoid arthritis affects patients of any age and both sexes.

The disease can cause serious complications, including syndrome carpal tunnel, inflammatory processes in the eyes, lungs, blood vessels, heart, and also increased risk the occurrence of stroke and heart attack.

Attention! If left unattended and untreated, infectious-allergic arthritis in children and adults can lead to damage to joints, bones, tendons and cartilage.

Carpal carpal tunnel syndrome suggests a pinched nerve in the hand, which affects nervous system, responsible for controlling movement and sensation in the hands.

What are the reasons for this condition

Allergic arthritis in children 2 years old occurs quite often, this is due to the ingestion of certain types of food and medications into the stomach, which provoke an autoimmune response in the body, leading to inflammation of the joints. Some studies show that use certain types food is not the main cause of the disease, the cause is proteins and other substances in foods, for example, in the following:

A child's digestive tract is the first place to identify foods or medications associated with allergens. As with other allergies, the human immune system mistakenly identifies proteins and other substances in the foods listed above as harmful invaders in the body. It continues to produce immunoglobulin E (IgE antibodies), which triggers chain reaction, including inflammation in the joints.

Numerous studies also show that gluten can cause rheumatoid allergic arthritis of the knee and other joints. In addition to foods, the following factors can increase the risk of disease:

Smokers are more likely to develop allergic rheumatoid arthritis than other patients.

Clinical manifestations of the disease

On early stages and in mild forms of allergies associated with rheumatoid arthritis, the patient’s small joints are the first to suffer. The patient often experiences pain in the joints of the fingers and toes. In more severe cases, symptoms spread to large joints, causing aching or acute attacks pain, loss of movement.

Symptoms in adults and children may include the following:

  • tenderness and warmth in the joint;
  • the skin of the affected joint is swollen and red;
  • stiffness in the joints, starting in the morning and lasting up to several hours;
  • rheumatoid nodules;
  • fatigue;
  • weight loss;
  • increase in body temperature to fever.

Unlike other types of rheumatoid arthritis, symptoms allergic form usually observed after the patient has ingested food or medications that aggravate the condition. Over time and without treatment, the disease leads to deformation in the joints. You can learn more about the symptoms of the disease by watching a video with Dr. Komarovsky.

How is pathology diagnosed?

After discovering signs of allergic arthritis, the patient makes an appointment with a doctor, this may be a therapist who will refer the victim to a rheumatologist and allergist. Diagnosis of the disease involves performing a blood test to measure the erythrocyte sedimentation rate (ESR). High performance ESR means that the patient has increased level inflammatory processes in the body.

The child and adult will need to be examined with x-rays, if necessary, they will conduct magnetic resonance imaging and computed tomography.

Treatment of allergic arthritis

Primary care in case of illness consists in the use of non-steroidal anti-inflammatory drugs, which are necessary to relieve pain and inflammation. Treatment is usually aimed at preventing pathology and reducing symptoms. It consists of stopping contact with pathogens and using certain medications that improve the condition of the victim.

Patients are prescribed drugs to suppress autoimmune reactions to allergens, this antihistamines. Doctors also prescribe oral chondroprotective drugs to prevent further damage to bones, cartilage, ligaments and tendons. Chondroprotectors include such drugs as:

  • Artra;
  • Don;
  • Teraflex.

Treatment is not excluded traditional medicine. Various decoctions and infusions prepared from anti-inflammatory herbal infusions effectively cope with the disease. A positive result after completing a course of treatment will be if you strictly follow all the instructions of the attending physician.

Arthritis is a disease that affects one or more joints and differs characteristic symptoms. In childhood, the disease develops due to injuries, infectious lesions and unstable functioning of the immune system. Most often, children suffer from infectious-allergic arthritis.

Discovery history and description:

  • The disease was first described in 1965.
  • Russian scientist A.I.
  • Nesterov conducted observations on adult patients and found that the disease is inflammatory disease joints (benign in nature).
  • It is characterized by short-term, rarely recurrent arthritis, which does not lead to joint deformities and is not accompanied by inhibition of the functions of the heart valves.

In the infectious-allergic form of the disease in children, the joints of the legs, including the knees and ankles, are often affected. The inflamed areas increase in size.

Subsequent observations showed that this type of arthritis can develop in childhood. The pathogenetics of the disease has not been studied. Suggested relationship with nasopharyngeal streptococcal infection, which leads to an allergic response from the body and the appearance of symptoms of the disease.

Types and classification

Infectious-allergic arthritis is divided as follows:

  • Toxic-allergic. Several joints are involved in the pathological process, so it is classified as polyarthritis.
  • Bacterial-metastatic.

Types of disease:

Infectious-allergic arthritis is reversible and does not cause consequences, joint functions are completely restored.

  • Pneumococcal. The lesion is usually concentrated in several joints, but is reversible. The disease develops against the background lobar inflammation lungs.
  • Septic. The disease develops against the background of a general purulent infection, for example, in case of blood poisoning. The disease can be caused by coccal microflora, coli. With the toxic-allergic type, the disease can develop in acute and subacute forms, such as polyarthritis. The pathological process is reversible.
  • Tuberculous. The disease, which occurs in a toxic-allergic form, resembles rheumatoid arthritis, when small joints of the limbs are affected.
  • Syphilitic– can develop against the background of congenital syphilis.

Causes

The reasons contributing to the development of the disease are as follows:

  • Intestinal, genitourinary infections(arthritis is a complication of the underlying disease).
  • Viral infections – hepatitis B, rubella, enteroviruses, parvoviruses.
  • Previous arthstreptococcal infection (most often formed after unsuccessful vaccination).

Symptoms

Description of the symptoms of the disease that occurs in childhood:

  • Refusal of food.
  • The child is capricious and nervous.
  • Low physical activity.
  • Complaints of pain in the limbs.
  • Allergic rashes.
  • Increased body temperature.
  • Violations general condition body.

Diagnostics

The principles of diagnosis are based on the examination of the patient:

  • Taking an anamnesis - establishing a connection between articular lesions and infectious and allergic diseases, identification of features of the course of the disease.
  • Establishment of characteristic clinical data (presence of inflammation, pain syndrome, deformities, progressive limitation of mobility). A physical examination is carried out for the presence of soft tissue compactions, local swelling, pain on palpation, temperature changes on the skin surface, and effusion.
  • Availability of laboratory data on the presence of an inflammatory process. Clinical analysis blood may show high content eosinophils, granulocytes (neutrophils), streptococcal antibody titers.
  • X-ray data (ankylosis, narrowing of the joint space, etc.). The method can be used during differential diagnosis.
  • According to indications - examination of synovial fluid.

For children suffering from infectious-allergic arthritis, it should be organized special food, eliminating the presence of allergens in food.

Treatment

A comprehensive pathogenetic therapy, the main purpose of which is to:

1. Correction of the patient’s immunological and general reactivity:

  • Use of desensitizing pharmacological agents.
  • Use of immunosuppressive medications.
  • Impact on infectious foci.
  • Restoration of metabolism.
  • Normalization of vitamin balance.

2. Elimination of common and local localizations inflammation:

  • Implementation of physiotherapy techniques.
  • The use of medications, including hormonal drugs.
  • Resort/sanatorium treatment.

3. Recovery functional activity joints:

  • Therapeutic gymnastic exercises.
  • Massage.
  • Physiotherapy.
  • Balneotherapy is a treatment based on taking general and local baths with mineral water.

4. Primary therapy pathological process– allergies.

Pharmacological agents

Groups medications, used to treat children are listed below.

Anti-inflammatory nonsteroidal drugs:

  • Diclofenac (no more than 100 mg daily in two doses).
  • Ibuprofen (depending on age, 200-1000 mg daily).
  • "Indomethacin" (for children younger age Prescribe ½ pill 2 times a day, in older age – up to 100 mg daily).
  • "Voltaren."
  • "Butadion".
  • "Naproxen" (on average 250-750 mg daily).
  • "Acetylsalicylic acid" (after eating 3-4 times a day).

Medicines restore mobility to the affected tissues, eliminate inflammatory processes, and relieve pain.

Desensitizing agents:

  • "Diphenhydramine."

Antibiotics:

  • "Minocycline."
  • "Doxycycline."

The drugs are prescribed to be taken strictly in certain cases.

In young children, arthritis is most often diagnosed between the ages of 12 months and four years.

Glucocorticosteroids:

  • "Perdnisolone" (taken orally 1 mg/kg - daily).
  • "Metypred", "Diprospan" - intra-articular.

Drugs are used for treatment severe forms illness when non-steroidal drugs ineffective.

Immunosuppressive drugs:

  • "Diprospan".
  • "Consupren".

Other drugs:

  • "Etanercept".
  • "Tocilizumab".

Prevention

Preventive measures should be carried out in two directions.

Non-specific activities:

  • Correct feeding of the child (natural breastfeeding if possible, selection of special high-quality formulas).
  • Organization of the daily routine.
  • Regular hardening (air baths, water procedures).
  • Gymnastics, including daily physical activity, active species recreation.
  • Prevention of pathologies of pregnancy and prematurity.

Specific events:

  • Prevention of infections.
  • If the disease develops, early treatment is required.
  • Timely treatment of caries, diseases of the tonsils, ENT organs.

Parents should be attentive to the health of their child. The sooner the diagnosis is made, the sooner treatment will begin with a high chance of a favorable outcome. Effective therapy returns children a full quality of life, without compromising their physical activity.

Know-how in the treatment of arthritis:

The immune system reacts differently to allergens entering the body. From the musculoskeletal system, allergic or infectious-allergic arthritis sometimes appears. These diseases are easy to treat and cause minor harm to the body, but if left untreated or with improper therapy, they can recur, which brings discomfort to the patient.

Causes

Both adults and children of both sexes are susceptible to allergic arthritis. The disease most often affects women, and in children the most common diagnosis is infectious-allergic arthritis.

The disease can occur in any person; the following categories of people are at risk:

  • Children with an unformed immune system;
  • Allergy sufferers;
  • Persons who have had injections or surgery in the joints;
  • Patients with chronic form arthritis, metabolic disorders, diabetes mellitus and sexually transmitted diseases.

Hypothermia, fatigue, severe stress also stimulates the development of allergic arthritis.

Symptoms

When an allergen enters the body, the immune system begins to produce antibodies to protect against foreign microorganisms. The reaction may not appear immediately, but several days after the infection enters the body. Most often, large joints are affected: hip, knee, shoulder or elbow.

The main symptoms of allergic arthritis:

  • Swelling in the soft tissue area near the joint;
  • Redness around the affected area;
  • Pain in the joint;

If the hip or knee-joint, then walking and standing up are difficult. After a long stay in one position, discomfort and pain intensify.

  • Local increase in temperature;
  • Other signs of allergy may occur: itching, rashes, bronchospasms, Quincke's edema.
  • Intoxication of the body: elevated temperature body, nausea, vomiting, diarrhea, weakness, chills.

The symptoms of allergic arthritis in adults and children are identical, but in children they are more pronounced.

Infectious-allergic arthritis

The cause of the appearance is infection entering the body and subsequent allergic reaction at her. The main factors are:

  • Streptococcus;
  • Staphylococcus;
  • Hepatitis B;
  • Rubella.

The first signs of infection appear after 7-14 days. The symptoms coincide with allergic arthritis, but they are complemented by inflammation of the synovial membrane. After 2-3 weeks, the articular syndrome disappears, but after a while sharp pains may be renewed.

On a note!

Most often, the disease affects several joints. Infectious-allergic polyarthritis is diagnosed in children. Its signs are loss of appetite, deterioration in mood, weakness of the child, changes in gait, lameness, frequent falls and complaints of the baby about pain in the joints.

Classification

According to the International Classification of Diseases, allergic arthritis is assigned the number M13.8.

There are several types of allergic arthritis based on various characteristics:

  • Viral or fungal infection can affect several joints at once, then the disease is called polyarthritis;
  • Non-specific infectious arthritis develops in response to exposure to an infection that has entered the body;
  • There are also;
  • Depending on the type of pathogen, the disease is classified as tuberculous, syphilitic, fungal or gonorrheal;
  • Based on the method of infection, primary and secondary arthritis are distinguished.

Two main forms of the disease:

  • Spicy. It manifests itself as severe swelling and pain in the tissues, may be accompanied by an asthma attack and Quincke's edema, but the symptoms quickly disappear with timely and correct treatment;
  • The subacute form is most often a reaction to taking medications. To eliminate it, hormonal and painkillers are needed. In the absence of therapy, irreversible changes in the joints appear.

Diagnosis of the disease

Only a doctor can determine accurate diagnosis. To do this, he collects anamnesis based on the patient’s complaints and various studies:

  • General and biochemical blood tests;
  • X-ray image;
  • Ultrasound examination;
  • Puncture of joint fluid.

Interesting!

For allergic arthritis synovial fluid becomes cloudy and heterogeneous, and in the infectious-allergic type of the disease it contains pathogen bacteria or their antibodies.

Treatment options for allergic arthritis

Before starting treatment, it is necessary to completely eliminate interaction with the allergen.

First aid for allergic arthritis includes the following:

  • Elimination of symptoms of acute arthritis;
  • Complete rest of the affected joint;
  • Taking antihistamines.

To get rid of allergic arthritis it is used complex therapy regardless of the gender and age of the patient.

Most often prescribed drug treatment. This includes taking allergy and anti-inflammatory medications. In rare cases, in the absence therapeutic effect, can be assigned hormonal medications(Prednisolone, Epinephrine). They are injected into the affected joint after an allergy test.

Antihistamines relieve pain and joint syndrome. The most commonly recommended medications are:

  • Suprastin;
  • Fenistil;
  • Diphenhydramine;
  • Pipolfen.

To relieve inflammation and swelling and restore joint mobility, it is recommended to use non-hormonal anti-inflammatory drugs:

  • Diclofenac;
  • Indomethacin;
  • Aspirin;
  • Ibuprofen.

If allergic arthritis is caused by an infection, your doctor may prescribe antibiotics wide range actions. Once the type of pathogen has been established, highly targeted drugs are prescribed. The duration of therapy is 2-6 weeks, depending on the severity of the disease, in difficult cases It is allowed to administer the medicine into the joint cavity. Usually prescribed:

  • Ceftriaxone;
  • Levomycetin;
  • Neomycin;
  • Minocycline.

Treatment of allergic arthritis should be carried out under the strict supervision of a physician. Only he can make a diagnosis and prescribe appropriate medications.

Special ointments and creams that are applied to the affected area of ​​the body will help reduce pain and inflammation. When treating, you should follow the instructions and recommendations of a specialist.

After relieving acute symptoms, you can add massage, therapeutic exercises and physical therapy to restore joint tissue and improve mobility. It is possible to use cryotherapy, ultrasound and magnetic therapy.

To protect joints, chondroprotectors are prescribed to prevent destruction connective tissue, immunostimulating drugs that improve protective forces body and preventing infection.

If antibiotic treatment does not help positive result, then you may need surgical intervention. Usually only puncture and sanitation of the joint is needed, but in rare cases it is necessary to correct tissue deformation using implants or prostheses.

Allergic arthritis affects people of any gender and age, and it must be treated at the first signs. The prolonged course of the disease provokes the appearance of deformations and wear of joint tissues.