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Reiter's disease in women and men - symptoms and treatment

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Reiter Reiter's disease( or Fissanger-Leroy-Reiter disease), this infectious disease is sexually transmitted.

Combines the lesions of the female or male genitourinary system( urethritis, in women of cervicitis), the mucous membrane, skin and eyes( blennorenia keratoderma, conjunctivitis, stomatitis, cincinnar balanitis), as well as knee and ankle joints( arthritis).

Sick to the same extent, both men and women, but more often young men. But, nevertheless, the incidence depends not on age, but rather on the conduct of a way of life.

The risk of getting sick is equally high for both women and men, if they have unbridled sex life, and do not regularly pass tests for the detection of sexual infections.

In extremely rare cases, Reiter's syndrome can also be transmitted to children in their household way.

Causes of the disease

The pathogenesis of Reiter's syndrome is not fully understood.

Symptoms begin to appear after a few weeks after an infectious disease of chlamydial or ureoplasmic nature. This is the trigger mechanism for the manifestation of Reiter's disease, adding to this also an autoimmune component.

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There may be cases of adverse outcomes in the administration of antibiotics or chemotherapy drugs. In such cases, chlamydia cells are transformed into L-form.

Such cells are least susceptible to the effects of immunocompetent cells, in this respect they are capable of prolonged parasitism in the body.

Chlamydia themselves enter the body through the genitals, in fact, because this syndrome is a venereal disease.

Stages of the disease

The incubation period of the syndrome is 1-2 weeks. The first symptoms of Reiter's disease manifest through urethritis, cystitis or prostatitis.

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Appears characteristic purulent discharge from the urethra. But this is not the main sign, for example, in a third of men this stage passes asymptomatically.

The next stage of is damage to the mucous membrane of the eyes, and should be followed soon after by urethritis. A typical picture is bilateral conjunctivitis. He, too, can go unnoticed, because in most cases passes either asymptomatically or mildly.

The main sign of the disease in both women and men is joint damage .

The first signs of lesions are observed after a month and a half since the onset of the disease. Often asymmetric arthritis of large joints( knee, symptoms of Reiter ankle, interphalangeal, etc.) is often observed.

Joint damage starts from the top down from the genitourinary system, and captures everyone, over time.

The last stage is the lesions of the toes, the skin on them becomes red with a bluish tinge, a defoguration is noted. There may be calcaneal spurs, bursitis.

In some patients, the joint damage extends to the upper body. There are pains in the back, sarcoiliitis develops. Very rarely inflammation of the joints of the upper limbs.

Against the backdrop of all lesions, the lymph node enlargement is also noted.

In general, for reliable detection of ailment it is necessary to undergo the necessary diagnostics and to pass the tests.

Namely, to pass the general analysis of blood and urine, to investigate the secret of the prostate, synovial fluid, to scrape the manifestation of chlamydial infection, to test the carriage of HLA В27.There are also instrumental examinations, in particular, fluoroscopy of the joints of the lower extremities.

In half of the patients the joint defeat completely passes. A third of the patients have arthritis. In 20% of the disease goes to the chronic stage, there is a dystrophy of the muscles surrounding the focus of inflammation, functional damage to many joints.

Clinical manifestations

Reiter's Disease and Symptoms

Treatment of

Disease Reiter's disease is treated in two main ways:

  1. The first - antibacterial .There is a direct reduction of the chlamydia population in the body. Such treatment is often highly toxic and lasts no more than six weeks.
  2. Second - anti-inflammatory treatment of damaged joints. Also to remove the symptoms of the illness of Reuter use fizioprotsedury.

Separated from all is treated conjunctivitis and lesions of mucous membranes in the oral cavity.

Treatment should be performed not only by the patient, but also by his sexual partner, with subsequent presentation of a certificate to the relevant health authorities.

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Complications of

In rare cases, one patient out of ten has manifestations of:

  • myocarditis;
  • pleurisy;
  • pneumonia;
  • polyneuritis;
  • jade;
  • high temperature resistant.
Poorly treated or not diagnosed syndrome passes into a chronic stage. The patient earns disability.

Preventative measures

Timely treatment of all infectious diseases. Having one permanent partner with a benevolent reputation. The presence of HIV in a person significantly increases the risk of the appearance of Reiter's syndrome.

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