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Ichilov Medical Center
Rheumatology

Treatment of Reactive Arthropathy in Israel

Arthropathy or reactive arthritis is an inflammatory condition affecting small and large joints. Arthropathy may result from infectious diseases of the gastrointestinal tract, genitals, or immune system disorders that a child has experienced. The disease is not fatal, but it is dangerous due to its complications. If left untreated, it can lead to joint immobility, myocarditis, and carditis.

Causes

The cause of arthropathy is various infectious agents. A characteristic feature of this disease is that leukocytes, in conjunction with infectious agents, create immune complexes that begin to mistake joint cells for bacteria. As a result, there are disruptions in the immune system and destruction of the joints. Provoking factors for reactive arthritis include dirt, dust, and pets that carry infections. Infection may also be transmitted during intrauterine development. Allergic reactions can also be a cause of arthropathy.

Symptoms of Reactive Arthropathy

The main symptoms of arthropathy include complaints from the child about joint pain, limping, increased temperature and hyperemia in the affected joint area, elevated systemic temperature, and weakness. Since various bacteria are the cause of the disease, the symptoms will depend on the type of pathogen.

Diagnosis of Reactive Arthropathy in Israel

The primary task of the physician in Israel is to determine the medical history, as the symptoms of arthropathy are very similar to those of other types of arthritis. Therefore, the doctor must obtain the most complete data about the child's health over the past month. Urine, blood, and stool tests are ordered. Arthropathy is characterized by an increased white blood cell count in the blood and urine. Stool studies will help identify intestinal pathogens. Instrumental methods for confirming the diagnosis include X-ray and MRI.

Treatment of Reactive Arthropathy in Israel

To block pain syndrome in Israel, non-steroidal anti-inflammatory drugs are used. If they are ineffective, intra-articular administration of glucocorticoids is applied. Macrolide group medications are used to treat chlamydial infections. In cases of chronic prolonged disease, immunomodulators are prescribed in combination with antibiotics.

Prevention

Teaching the child personal hygiene rules and cleanliness in the living environment.

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