For specific

For specific acknowledgement of the diagnosis use allocation from excrements or are more often applied methods (an agglutination test, , etc.) with which help increase of an antiserum capacity during illness is registered.
The rubella also can become complicated order ultram 1mg arthritises. They are more often observed at adult men. The tumescence and morbidity of joints appear soon after a deflorescence and keep during 5... 10 days. Arthritises at a rubella after themselves do not leave Any consequences. Are amazed both fine joints of brushes of arms, and larger joints, but changes of the last are observed less often. Differential diagnostics of difficulties usually does not cause, as arthritises arise at the demonstrative forms of a rubella proceeding with characteristic by an exanthema, a hyperadenosis, especially and occipital, and differ a fast involution without residual changes. Any special diagnostic receptions for decoding of character of arthritises thus it is not required. In doubtful cases specific laboratory methods can be used. Antiserum capacity increase is usually taped, is diagnostically significant - in 4 times and more.
The epidemic parotitis also becomes complicated arthritises though and is more rare, than a rubella. Rather is more often they develop at adult men. There are arthritises through 1... 2 after sialadens. Large joints (radiocarpal, humeral, knee and talocrural) are amazed more often. Joints swell up, become painful at a palpation, in them there can be a serous exudate. Duration of arthritises more often 1... 2 , only at some patients they are tightened to 1... 3 months of Any consequences after parotitis arthritises do not remain.
Differential diagnostics in typical cases of difficulties does not cause, as the clinical semiology of an epidemic parotitis - and morbidity sialadens, symptom , frequent rising of activity of an amylase of urine, presence of complications typical for a parotitis (adult men in 50 % of cases have an orchitis) is rather characteristic. The epidemiological anamnesis - contact to the patient, absence of inoculations and disease by a parotitis in the past Matters. In doubtful cases it is spent research with didymous Serums ( and with specific diagnosticums).
Pseudotuberculosis. At palindromias, and they develop at half of patients, often there are arthritises (in 20... 30 % of cases). Some patients can have some relapses. The general duration of the complicated pseudotuberculosis makes 1... 2 , less often illness is tightened to 3 months Arthritises appear on 3rd week of illness is more often. They are accompanied by a new wave of a fever, often there is an exanthema, but any more
("scarlatiniform"), as in an illness initial stage, and in the form of a nodulose erythema with localisation of elements on anticnemions. Arthritises have infectious-allergic (but not purulent) character and pass without any residual phenomena.
Recognition of the pseudotuberculous nature of arthritises does not represent difficulties as they are preceded by the basic (first) wave of illness which has the characteristic developed semiology in vpxl 1mg the height period. The erased and atypical forms of a pseudotuberculosis do not become complicated arthritises. At abdominal forms of a pseudotuberculosis relapses and consequently also arthritises, arise in 2 times more often, than in the cases proceeding without a lesion of organs of digestion. In the period of height of a pseudotuberculosis often there is a punctate rash, a dermahemia of the person and a neck («a hood symptom»), a tumescence and a dermahemia of palms and feet. Mesadenitis signs are often taped. The second wave of a fever appears after short remission, on its background there are arthritises. Thus, differential diagnostics of pseudotuberculous arthritises can mainly be based on clinical data. In doubtful cases use specific laboratory methods, in particular allocation of the originator from excrements, revealing of specific antibodies by means of serological tests (, with pseudotuberculous., etc.). However at a capture of Serum (first) in occurrence of an arthritis of increase of an antiserum capacity to tap any more it is not possible.