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here Determination of elevated levels of uric acid in the blood. After decrease in inflammation - physiotherapy, massage. In thicker skin over the chasten or cartilage of the ear shells are formed painless, nodules of different sizes - deposits of uric acid crystals (tophi). In severe cases, conducted basic therapy: krizanol, D-penicillamine (kuprenil, metilkaptaze) delagil, sulfasalazine. due to heavy lung and cardiovascular system), subacute and chronic. Later during the illness becomes recurrent. During the attack renal colic prescribe procedures for the thermal (hot water bottle, bath), use antispasmodics, apalgetiki. Recognition is carried out on the basis of biochemical analysis of blood and incontinence (level of the enzyme chasten kinase), but the main role belongs to detection of chasten changes in muscle biopsy. Important is diet: the exclusion of alcohol, decrease in food products containing a large number of purine bases - meat, fish and products from them. In order to suppress gouty attacks used nonsteroidal anti-inflammatory drugs (voltarep, brufen, indomethacin, ortofep chasten With recurrent arthritis, kidney disease, tophi - a lifetime taking allopurinol (milurita) for normalization levels Transcutaneous Electrical Nerve Stimulator uric acid in the blood. In 15-20% of patients gout occurs urolithiasis, as well as interstitial nephritis. One-third of patients - Raynaud's syndrome (blanching blue fingers cooling). Rheumatoid arthritis - is characterized mainly by chronic progressive inflammation of many joints of the extremities, associated with circulation in Blood immune complexes. Systemic lupus erythematosus. Rare - small wrist, wrist and elbow. The appearance of arthritis Hearing Level a sharp intestinal or urinary infection, confirmation of the diagnosis - a selection agent, conducting serological tests. When protracted course - plasmapheresis. Dermatomyositis (polymyositis). The disease manifests persistent arthritis (usually polyarthritis) with early and predominant involvement of small joints hands and feet. Treatment. Later - During the undulating. In many cases, reactive arthritis short duration (from several days to several weeks), runs independently, but can become chronic. Systemic disease of skeletal and smooth muscle and skin. The disease begins gradually with a faintly pronounced inflammation of the joints, weakness and fatigue. Changes in blood tests are nonspecific: mild leukocytosis chasten marked increase in the number of eosinophils (up to 25-70%), persistent elevated levels of chasten globulin in blood and ESR. Necessary to use large doses of glucocorticoid hormones for a long time (prednisolone, methylprednisolone). Provoke illness cooling, prolonged exposure to sun, pregnancy, intolerance to medication. Involvement of the heart muscle (myocarditis or miokardidistrofiya) manifests persistent rapid pulse, reduced pressure, the appearance of systolic murmur, can lead to heart failure. Recognition is carried out on the basis chasten radiographic examination of erosions of chasten surfaces as defined in serum and synovial fluid of rheumatoid factor. In the most inflamed joints injected corticosteroid hormones (hydrocortisone, metipred, kenolog). Treatment. Treatment. In the initial stage - non-steroidal anti-inflammatory means (indometatsip, ortofen, voltaren, naproxen, ibuprofen, etc.). Characterized by morning stiffness in painful swollen joints, fever, skin over them. In the blood sedimentation rate, fibrinogen, C-reactive protein. Apply therapeutic exercise, aimed at maintaining maximum joint mobility and retention Muscle, physiotherapy (electrophoresis, phonophoresis, magnet) sanatorium treatment. Perhaps the family-genetic predisposition. Women are chasten 2 times more likely than men, with two age peaks (transitional age, menopausal period).