Urov's disease is a complex epidemic disease that often affects children and young people. In this condition, patients have a pronounced deformity of the joints of the extremities. This ailment is also called Kashin-Beck disease, or endemic deforming osteoarthritis. To date, it is considered a rather rare pathology, but previously it spread very widely among the inhabitants of Transbaikalia and Siberia.
Description
Urovskaya disease most often begins at an early age and develops rather slowly, immediately even imperceptibly. Its characteristic features are symmetrical deformities of the joints of the lower and upper extremities. And also there are constant crunches and pains, and later contractures appear. Often there is a deformity of the wrist, interphalangeal, ulna, ankle and knee bones.
Sick people are stunted, alsothey have short fingers, a duck-like gait, and compensatory hyperlordosis appears due to the impact of the disease on the hip joints.
Due to illness, related problems may appear, namely:
- myocardial dystrophy of the heart;
- mental retardation;
- colitis and antacid gastritis.
Anemia and leukopenia with relative lymphocytosis often spreads, at this time the indicators of inflammation do not change. The radiograph shows very significant transformations of the epiphyses - deformities in the form of hats. Interarticular gaps are narrowed due to the thinning of the cartilage. The bones of the tarsus and the wrists are flattened. The vertebrae begin to take on the shape of a coil as they are affected by the uro disease.
Etiology
Pathology got its name from the city of the same name, in which it was first detected, otherwise you can call it Kashin-Beck disease, after the names of the doctors who described the disease in detail. Development is associated with a violation of mineral metabolism, which may occur due to an imbalance of a number of chemical elements (manganese, phosphates and selenium) in water, plants, soil and, accordingly, in food.
Degrees of defeat
Urovskaya disease, the pathogenesis of which is very ambiguous, has several degrees of damage:
1. It is characterized by thickening and deformity of the proximal joints of the second and third fingers of the hand with minimal limitation of mobility.
2. The lesion occurs in the second and third interphalangeal joints,“short-fingeredness” and muscle dystrophy can be traced.3. More pronounced previous syndromes and significant deformation of all cartilage with limited mobility in them.
Urov disease in animals is also possible, and its stages are very similar to human ones, so the treatment is similar.
Stages
1. At the mildest stage, only 2, 3 and 4 fingers are affected. At the moment of loading, the patient feels a little pain, there is a limitation of mobility.
2. At the middle stage, more joints are already affected, significant stiffness in movement can be noticed, and a crunch occurs. Contractures and muscle atrophy are observed, and a small growth is also characteristic - no more than 140 cm.3. The most severe stage of the pathology is considered to be the one that is accompanied by damage to all joints, their thickening and deformation. There are the following signs:
- bear paw;
- short neck;
- hyperlordosis;
- narrow pelvis;
- duck walk;
- flat feet.
Symptoms
Urovskaya disease develops rather slowly. For a long time, it may not cause characteristic problems, therefore it is invisible to the sick person. At an early stage, only a qualified doctor can diagnose pathology. The first signs of the development of the disease include:
- pain in limbs;
- limited joint mobility;
- crunching fingers;
- convulsions.
A person first has a slight deformity in the upper limbs. At the initial stage, pain in the fingers does not bother you all the time. They are aching, irregular in nature and occur most often at night or in the evening.
In the future, the disease spreads to the wrist, elbow and ankle joints. Due to pathological transformations, growth slows down, flat feet appear and gait changes. In advanced stages, the patient complains of brittleness and thinning of nails and hair, constant heart and headaches, and loss of appetite. All this causes the tier sickness.
Reasons
The disease is caused by significant disturbances in the growth of tubular bones and problems with their ossification. Because of this, various deformations of the joints appear. Scientists have determined that the disease is often diagnosed in settlements in which there is an increased content:
- iron;
- strontium;
- manganese.
One of the causes of Kashin-Beck disease can be an unbalanced diet, which is so often observed in modern people. Because of this, the body does not receive the necessary trace elements and calcium. It is these violations that can contribute to the spread of the problem.
Diagnosis
Doctors establish the conclusion on the above symptoms. Additionally, it is necessary to undergo an x-ray, which can more accurately show all pathological changes in metaphase bones and joints. Still of great importance areinformation about the area where the patient lives. It should be remembered that the problems that are observed in the patient are also often found in other ailments, such as chondrodystrophy, rickets and endocrine changes. Therefore, the doctor must know what ur disease is in order to make a correct diagnosis and prescribe high-quality therapy.
In addition, a number of examinations are prescribed: rheumatic tests, biochemical and general blood tests, fluoroscopy.
Who should I contact?
A patient with such an ailment needs quality medical care. In treatment, orthopedists and rheumatologists will be able to come to the rescue.
Specialists will conduct a qualitative examination and listen to all complaints. To cope with such an ailment as uro's disease, prescribe an effective treatment, the doctor will ask certain questions:
1. When were symptoms noticed?
2. Have you taken any medications recently?
3. Are there chronic diseases?
4. Are there any allergic reactions to medicines?5. What have you been sick with lately?
After the interview, the patient will be sent for an x-ray examination, according to the results of which the doctor will be able to confirm the diagnosis and assess the extent of the disease.
Treatment
Therapy is aimed at improving the quality of the affected joints, reducing muscle contractures and pain. If you consult a doctor on time, then in most cases you can achieve a complete recovery. When a person came to an appointment at a late stage, thanks totherapy can slow down the processes of joint deformity.
Urovskaya disease, the treatment of which should be complex, becomes less noticeable after taking minerals and vitamins. The selected preparation should contain milk calcium, phosphorus and calcium gluconate. You need to take 2-3 tablets per day.
It is imperative to get vitamins C and B1, as well as drugs that are used for the treatment of arthrosis - FiBS and ATP.
Drug treatment is recommended to be combined with gymnastics, massages and physiotherapy.
Mud applications and radon baths have an excellent effect. In order for the condition to improve significantly, several procedures are enough. The therapy does not require the prescription of painkillers and anti-inflammatory drugs.
In advanced stages, when joint changes are inevitable, surgery may be needed.
Prevention
The main measures for maintaining he alth are the rational choice of a water source with the correct content of chemical elements, places of settlement and residence, as well as regular intake of microelements and multivitamins. Of course, nutrition must be balanced and complete, because if the joints do not receive the necessary nourishment, the disease will negatively affect them.
