reactive arthritis

occur after infections (iersipioznyh enterocolitis, dysentery, gonorrhea, chlamydial infections of the urinary tract), have immunnokompleksnuyu nature.
Mostly inflamed joints of the lower extremities, especially toes, around which the skin gets bluish color or bagrovosinyushnuyu. Perhaps the inflammation of the tendons in their places of attachment to the bones. Can omechatsya and extra-articular manifestations: rash, ulceration of the oral mucosa, inflammatory changes of the vagina, penis, eye (conjunctivitis), the heart (myocarditis, pericarditis). In many instances, reactive arthritis is short (from several days to several weeks) runs independently, but can become chronic.
The appearance of arthritis after any acute intestinal or urinary infection, confirmation of the diagnosis - abjection, carrying out serological tests.
Treatment is generally NSAIDs (indomethacin, Ortophenum, naproxen, etc.) and intra-articular administration of corticosteroids. When protracted course - plasmapheresis.