Overview Myositis is an inflammatory disease of muscle tissue. It can be triggered by a variety of causes, but is usually the result of an autoimmune disease. Myositides mainly occur in association with other diseases, but overall they represent a relatively rare clinical picture. Only 10 cases of myositis are recorded among one million inhabitants … Myositis
Diagnostics The diagnosis of myositis is usually complicated because it is difficult to differentiate between different clinical pictures. The clinical symptoms should be the guide, as these can give an indication of the type and location of the inflammation. However, the majority of myositis is a creeping disease that is noticed only late. This increases … Diagnostics | Myositis
The most common clinical pictures Polymyositis is the rarest form of the common inflammatory muscle diseases. It occurs more frequently in two stages of patients’ lives: in childhood and adolescence from 5 to 14 years and in advanced adulthood from 45 to 65 years. On average, twice as many women as men are affected by … The most common clinical pictures | Myositis
Special clinical pictures Münchmeyer syndrome (Fibrodysplasia ossificans progressiva): An inherited genetic defect that affects the development of skeletal muscles leads to the so-called Münchmeyer syndrome. In this syndrome, lime salts are stored in muscle cells for years and as a result, the muscles become ossified. Starting in the neck area, the disease progresses from the … Special clinical pictures | Myositis
Therapy The treatment of dermatomyositis and polymyositis corresponds to the mostly applied therapy of autoimmune diseases. Cortisone is administered, which partially inhibits the immune system and leads to a flattening of the inflammation, so that the tissue can recover. Relatively high doses are used, which are gradually reduced over a longer period of time. Depending … Therapy | Myositis
Synonyms: Reactive Arthritis, Reiter’s Disease, Polyarthritis Urethrica, Urethro-conjunctivo-synovial Syndrome Definition Reiter’s syndrome describes an inflammatory joint disease that can occur as a secondary disease after inflammation of the gastrointestinal tract or the urogenital tract (urinary tract). Actually, Reiter’s syndrome comprises three or four main symptoms and is considered a special form of reactive arthritis. Causes … Reiter’s syndrome
Symptoms In the case of a Reiter syndrome, the so-called Reiter triad is described. Possibly these can be completed by a further symptom to the Reiter triad. Arthritis, inflammation of the ureteral mucosa (urethritis) and conjunctivitis (conjunctivitis) or iritis are among the Reiter triad: The Reiter triad also includes the so-called Reiter dermatosis: This dermatosis … Symptoms | Reiter’s syndrome
Prognosis Complete healing after 12 months is seen in 80% of cases. A more favorable prognosis has a disease with only single symptoms compared to a fully developed Reiter syndrome. Patients with positive HLA-B27 or with a severe course of the disease may have a tendency to have a chronic course. The Reiter syndrome was … Prognosis | Reiter’s syndrome
Diagnosis To ensure the diagnosis can be included in the ultrasound examination or a magnetic resonance sonography of the head (MRI of the head). Magnetic resonance imaging can also be used to visualize the inflammatory changes in the vessel wall. However, a definite diagnosis of giant cell lateritis can only be made by taking a … Diagnosis | Giant Cell Arteritis
Synonyms Arteriitis temporalis, arteriitis cranialis, horton arteriits, horton disease Definition Giant cell arteritis is one of the inflammatory diseases of the blood vessels. It thus belongs to the group of rheumatic diseases (rheumatism). Only the aorta and arteries are affected, but not veins or capillaries. (Hence the name arteriitis = inflammation of the arteries. ) … Giant Cell Arteritis
Origin of disease The inflammatory destruction of the vessels occurs in two different ways, for which the own immune system is responsible: On the one hand, defence cells (white blood cells, large leukocytes) form proteins (so-called antibodies), which attach themselves to the structures of the vessels and subsequently start a chain reaction in which various … Origin of disease | Giant Cell Arteritis
Synonyms in a broader sense chemical destruction of the joint mucosa (synovitis) Introduction Chronic polyarthritis (rheumatism) is a chronic inflammatory joint disease that requires interdisciplinary treatment. The first point of contact is the rheumatology specialist orthopaedist and internist. Rheumatic treatment consists of medication, physiotherapy, ergotherapy, physical therapy and, if necessary, surgery. While the classical medicines … Chemosynoviorthesis
