What is syphilitic arthritis?

summary

Syphilitic arthritis usually occurs in 20-40 years old. Some patients infected with syphilis, after more than 10 years of incubation period before joint symptoms. There are latent syphilis, in trauma, childbirth, infection and other incentives, causing joint syphilis. What is syphilitic arthritis? Next, I'd like to share my views with you.

What is syphilitic arthritis?

Syphilitic arthralgia usually occurs in stage II syphilis, before or at the same time of rash. Pain is generally not severe, mostly dull pain or joint fatigue. There may be slight tenderness and pain after exercise. The pain was obvious at night.

The pain subsided automatically after several days or weeks, and it was rare for the pain to last for several months. There was no abnormality in joint appearance and X-ray. The affected joints were elbow, knee and shoulder, but the hip joint was rare. Generally, the diagnosis is difficult and easy to be misdiagnosed as neuralgia and hysteria.

Most of them occurred in middle-aged patients with late syphilis. Single or multiple joint disease. When the onset, there may be persistent fever or flaccid fever, joint performance for red, swelling, pain. Swelling and pain of the joints worsened at night. Joint exudate was slightly turbid serous, or serous fibrin, but not purulent.

matters needing attention

Appropriate amount of penicillin should be given according to the above syphilis treatment plan. Penicillin allergy patients can not be treated with tetracycline or erythromycin because of the toxic reaction of tetracycline, while erythromycin has no effect. Desensitization to penicillin can be considered, but it is not without risk.