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Acute articular rheumatism, history or actuality?

Acute articular rheumatism, history or actuality?

Acute joint rheumatism is an inflammatory disease of the joints and connective tissue. This disease has become almost non-existent in the modern era due to the evolved treatments discovered. However, besides the fact that it can recur, even in passive form it can still give rise to heart problems. Rheumatism leads us to think of old people who often complain of bone pain, of the feet, of the joints, etc. Acute articular rheumatism is a form of rheumatism that does not occur in older people. On the contrary, it is common in adolescents and children, about 5 to 25 years old and not at all after this age. However, this condition is very rare.

Is acute joint rheumatism a current condition?

This disease has begun to disappear from the modern medical landscape, but is not completely eradicated. The increasingly evolved and developed antibiotic treatments have made the worst forms of joint rheumatism disappear. Occasionally, the disease may recur, but cases are very rare and relapse decreases with age.

It is an exception for children under 3 years old, extremely rare in those over 20 years old, and people over 25 years old are even "exempt" from this disease. The disease is listed in official documents as a very rare disease, but can occur between 5 and 25 years, especially in adolescence. The incidence of the disease depends very much on the socio-economic context in which you live. Starting with the years 60-80, the rate of disease onset and mortality began to drop considerably due to:

  • significant improvement in the standard of living of people;
  • increasingly efficient sanitation of homes;
  • development and evolution of antibiotic treatments;
  • efficacy of penicillin in treatments for streptococcal infections.
  • The difference in standard of living is extremely important and makes a difference in terms of disease incidence. Developed countries do not have many cases of this disease, while in developing countries epidemics can still be triggered.

    How is acute joint rheumatism manifested?

    Acute joint rheumatism mainly affects the joints and connective tissues. Symptoms include: neck and back pain; rheumatic fever; headache; erythema; weight loss; epistaxis; fatigue; bad mood; pallor; Ankylosing spondylitis.

    How is it treated?

    This type of rheumatism is in fact a pharyngeal infection with group A streptococcus (acute streptococcal pharyngitis). The sooner it is discovered, the more the treatment acts more efficiently and combats the appearance of complications, which can be fatal (this is especially cardiovascular disease). The classic therapeutic behavior consists in the administration of antibiotics, specifically penicillin, to fight the infection.

    Some doctors call for long-term antibiotic treatment to ensure that the disease does not recur. Otherwise, doctors will recommend medication and therapeutic methods to relieve the symptoms of the disease. They will also intervene, if necessary in treating cardiac lesions or other complications, if they have occurred.

    Tags Streptococcal infections