Good afternoon, the doctor! 13 years or summer daughters hurt mine about one month joints (g...

[nata]

Good afternoon, the doctor! 13 years or summer daughters hurt mine about one month joints (talocrural, knee, ulnar, radiocarpal), pains flying, knee like are smoothed or maleficiated, ostalnye-are not changed, temperatura-normal, in analyses krovi-p/nuclear sdvig-9 %, SOE-7 mm, rhematoid faktor-otr., S-reactive fiber + +, an electrocardiogram, EHOKG-without change, on other organs 9, the liver, zh/a bubble, legkie-is healthy, is hr. A tonsillitis outside of an exacerbation. The daughter has transferred or carried attack of rheumatic disease to 4 years, has done without defect. Have passed or have taken place 3 years or summer bitsillinoprofilaktiku, exacerbations were not. Prompt, what is it can be? Can, still any researches should be spent?
Yours faithfully, Natasha

[Tutelman K.M.]

Spectrum of diseases at which the syndrome takes place articulate or joint is huge. In diagnostics the great value has the anamnesis (history of disease): on a background of that there were joint pains, duration of a painful sign, letuchest pains, symmetry of a lesion, presence of a morning restraint, etc. Is competent estimate or appreciate them can only skilled or experienced kardiorevmatolog. The basic reasons of joint pains can be both rheumatic diseases, and arthritises of other etiology, for example, reactive arthritises on a background of infectious diseases of other organs. Also joint pains are possible or probable and at vegeto-a vascular dystonia on vagotonic type. So wide spectrum of diseases, and the main thing of difference in their reasons, current and the forecast do not allow to give the reference not seeing the patient. Nevertheless otsutsvie obvious attributes of inflammatory process in the general or common analysis of a blood speaks about low verjatnosti a rheumatic lesion of joints. Nevertheless it or he needs to be excluded first of all!!! (in connection with the most terrible complications). As doobsledovanija I recommend to spend roentgenography of the amazed or struck joints, and the most important during the moment of an exacerbation of a painful syndrome to consult with kardiorevmatologom!!! In most cases the clinical picture of disease speaks about the diagnosis more, than the subsequent laboratory researches directed only on acknowledgement or confirmation of the prospective diagnosis.