Presentation
BACKGROUND: Arthralgia is a common presentation to general practice, and many cases will not require any specific treatment. [ncbi.nlm.nih.gov]
Clinical presentations of viral arthritis Virus Frequency of arthritis Typical presenting features Likelihood of presenting with arthritis Duration of arthritis Comments EBV Very low Pharyngitis, cervical lymphadenopathy Fevers Very low Days Often have [racgp.org.au]
Of all the presenting symptoms of the possible conditions, the presentation of arthritis affecting five or more joints simultaneously must be present for a polyarthritis diagnosis, with the patient’s medical history and physical examination providing [belmarrahealth.com]
Viral arthritis is less common than bacterial arthritis and often the diagnosis is made in a lesser number of patients because of because of the late presentation of this condition. [boneandspine.com]
Periarticular swelling may be present and axial involvement is common. In later phases (> 10 days), articular symptoms persist while fever and rash tend to resolve. [rheumatologyadvisor.com]
Entire Body System
- Weight Loss
Common symptoms of polyarthritis include: Pain with or without inflammation Five or more joints affected at the same time Redness of joints Warmth over joints Joint swelling Fever Unintentional weight loss The bottom line is that a diagnosis of polyarthritis [belmarrahealth.com]
Weight loss may be a feature. Tiredness can occur. Rarely, heart or kidney problems can develop. What causes reactive arthritis? When you have an infection your immune system tries to fight it off. [patient.info]
Constitutional symptoms such as weight loss, night sweats, fever, and fatigue are also more common with systemic illnesses. Patient history, including social history, can provide further insight into the patient's physiologic state. [aafp.org]
- Infectious Mononucleosis
Other viral infections that can cause arthritis are hepatitis B, rubella, mumps, infectious mononucleosis, and herpes. Viral arthritis often affects multiple joints but generally leaves no permanent damage. [healthcommunities.com]
mononucleosis-like illness at seroconversion in some patients. [racgp.org.au]
Infectious hepatitis, mumps and infectious mononucleosis are viral infections that can lead to a short bout of infectious arthritis. Generally, the joint inflammation lasts no more than one to two weeks. [orthop.washington.edu]
- Burning Pain
OTHER CAUSES OF JOINT PAIN Neurologic causes of pain may be determined by characterization; apart from numbness and burning pain, the pain is unlikely to worsen with joint movement and is likely to worsen at night. [aafp.org]
- Difficulty Walking
During that time, eight patients developed persistent arthritis, several with joint pain so severe they had difficulty walking. [sciencedaily.com]
Jaw & Teeth
- Oral Ulcers
A review of systems is usually negative for rashes, oral ulcers, or other internal organ involvement. [aafp.org]
Liver, Gall & Pancreas
- Jaundice
Depending on germs, others signs and symptoms as fever, cutaneous rash (Parvovirus B19) or jaundice (hepatitis) can be present. Worldwide most common germs are Parvovirus B19, hepatitis B and C, HIV and alphavirus. [ncbi.nlm.nih.gov]
The arthritis often starts before the jaundice (yellowness of the skin) of hepatitis, and it may last for several weeks after the jaundice is gone. For patients with chronic (meaning long-lasting) hepatitis, joint pain may come and go. [advantagephysiotherapy.com]
Low Days Arthralgia more common than frank arthritis Hepatitis B Moderate Malaise, rash, jaundice Moderate Days/weeks Arthritis is abrupt in onset, in RA distribution preceding icteric phase Hepatitis C Moderate Malaise, jaundice Moderate Weeks, months [racgp.org.au]
This form of arthritis manifests itself before the yellowness or the hepatitis of the jaundice. And it can last for a longer period, even after the patient has recuperated. Often patients with chronic arthritis face this disease in bouts. [findarthritistreatment.com]
Hepatitis viruses infect liver and lead to jaundice. Cryoglobulinemia is associated with HCV in most cases Rubella virus has maculopapular rash on the face, trunk and upper extremities. [boneandspine.com]
Skin
- Ulcer
Articular cartilages may be ulcerated. Haemorrhage in tissues. Fibrosis in chronic cases. Diagnosis Diagnosis may be based on the history, lesions, IFA and rising antibody titre. [thepoultrysite.com]
A review of systems is usually negative for rashes, oral ulcers, or other internal organ involvement. [aafp.org]
Research has shown that continuous use of arthritis drugs can cause numerous side effects in our pets, such as stomach ulcers, as well as liver and kidney problems. [polfree.eu]
Cryoglobulinemic skin ulcers are usually predominant in the lower limbs and are non healing and painful. They are often complicated by local infection and may potentially affect the quality of patients life. [hepatitis.imedpub.com]
Side effects include gastrointestinal upset and stomach ulcers. Corticosteroids: Help reduce inflammation by suppressing the immune response. This form of treatment works especially well in autoimmune diseases such as systemic lupus erythematosus. [belmarrahealth.com]
- Skin Ulcer
Cryoglobulinemic skin ulcers are usually predominant in the lower limbs and are non healing and painful. They are often complicated by local infection and may potentially affect the quality of patients life. [hepatitis.imedpub.com]
- Pruritus
The infection then progresses to the icteric phase, which may include jaundice, bilirubinuria, pruritus and abdominal pain. [racgp.org.au]
Eyes
- Eye Pain
Inflammation of the front of the eye (conjunctivitis). This can make your eye look red. However, it is not very painful, does not affect vision and is not serious. Inflammation of a deeper part of the eye (uveitis). [patient.info]
Musculoskeletal
- Arthritis
It is important to differentiate viral arthritis from other causes as early intervention in inflammatory arthritis has been shown to improve long-term outcome. [ncbi.nlm.nih.gov]
What is viral arthritis? Viral arthritis is inflammation of the joint caused by the presence of a virus. [healthhype.com]
Viral arthritis is an acute arthritis that is caused by a viral infection. According to Clinical Medicine, about one percent of all cases of acute arthritis is associated with a viral causative agent. [verywell.com]
- Arthralgia
Low Arthritis, arthralgia with acute infection. Increased incidence of several rheumatic diseases in chronic infection RRV Very high Arthralgia, myalgia, rash, fever Very high Weeks to months Diagnosed by demonstration of seroconversion. [racgp.org.au]
Synovitis is minimal and in general arthralgia is more common than frank arthritis. [rheumatologyadvisor.com]
BACKGROUND: Arthralgia is a common presentation to general practice, and many cases will not require any specific treatment. [ncbi.nlm.nih.gov]
Serologic testing is the most effective way to establish the diagnosis of viral arthritis when a viral infection is suspected—or to pin down the cause of arthritis or arthralgia of unknown origin regardless. [verywell.com]
It is also important to note the difference between arthralgia and arthritis. Arthralgia is joint pain and it is a common symptom of many viral infections. [healthhype.com]
- Joint Swelling
swelling and lameness. viral assembly final steps in the replication of viruses in which virions are assembled from their separately synthesized components. [medical-dictionary.thefreedictionary.com]
Presentation of Viral Arthritis Viral arthritis involves joints symmetrically. Usually, the peripheral joint like hands, wrists, elbows, and knees may be affected. Affected joints swell and become stiff especially in the morning. [boneandspine.com]
Chikungunya infection What to watch for Acute symptoms usually begin three to seven days after being bitten by an infected mosquito and generally last about a week Common symptoms include: fever, severe joint pain, joint swelling, headache, nausea, fatigue [medicine.wustl.edu]
Common symptoms of polyarthritis include: Pain with or without inflammation Five or more joints affected at the same time Redness of joints Warmth over joints Joint swelling Fever Unintentional weight loss The bottom line is that a diagnosis of polyarthritis [belmarrahealth.com]
The most common symptoms are joint pain and fever. Symptoms can also include headache, joint swelling and muscle pain in the first seven to 10 days of infection. [bottomlineinc.com]
- Symmetrical Arthritis
Acute chikungunya usually lasts for up to a week, but it is associated with arthritis that persists for up to 36 months. Usually, the symmetrical arthritis of chikungunya affects the fingers, wrists, knees, and ankles. [verywell.com]
- Migratory Polyarthritis
Indeed, migratory polyarthritis is one of the five major manifestations of rheumatic fever (Table 6), whose diagnostic criteria (the Jones criteria) have been updated in 1992 ( 5 ). [antimicrobe.org]
Neurologic
- Lethargy
However, many people have symptoms that may be flitting and transient before becoming permanent, with a general feeling of non-specific illness (flu–like), depression and lethargy. [nras.org.uk]
Symptoms common to all alphavirus infections include rhinorrhoea, sore throat, marked lethargy and backache. [antimicrobe.org]
Workup
Microbiology
- Chlamydia
Most often, these bacteria are in the genitals ( Chlamydia trachomatis) or the bowel ( Campylobacter, Salmonella, Shigella and Yersinia ). Chlamydia most often transmits by sex. [rheumatology.org]
Therefore, a high suspicion for Chlamydia at the background is relevant for the diagnosis of reactive arthritis with tests to detect of Chlamydia trachomatis in the urogenital tract. [antimicrobe.org]
(caused by the bacterium Chlamydia trachomatis). [betterhealth.vic.gov.au]
However, some studies suggest that long-term treatment with antibiotics may help to reduce the length of the arthritis in some cases, particularly if chlamydia is the triggering infection. [patient.info]
The most common genitourinary causes are sexually transmitted diseases such as Chlamydia and Gonorrhea. The most common viral causes are the common flu, HIV, and Parvovirus. [about-reactive-arthritis.com]
- Chlamydia Trachomatis
(caused by the bacterium Chlamydia trachomatis). [betterhealth.vic.gov.au]
For Chlamydia trachomatis, this period can be up to 4 weeks. The triggering infection can also be asymptomatic. [antimicrobe.org]
Most often, these bacteria are in the genitals ( Chlamydia trachomatis) or the bowel ( Campylobacter, Salmonella, Shigella and Yersinia ). Chlamydia most often transmits by sex. [rheumatology.org]
HLA Type
- HLA-B27
Having the HLA-B27 gene could also make you more likely to have further episodes of reactive arthritis in the future. [arthritisresearchuk.org]
It is thought that HLA-B27 may affect the elimination of the infecting bacteria or an individual’s immune response. [1] HLA-B27 has been shown to be a predisposing factor in one-half to over two-thirds of individuals with reactive arthritis. [8,1] While [about-reactive-arthritis.com]
Some patients with reactive arthritis carry a gene called HLA-B27. Patients who test positive for HLA-B27 often have a more sudden and severe onset of symptoms. They also are more likely to have chronic (long-lasting) symptoms. [rheumatology.org]
The role of HLA-B27 in this process has been discussed, and the favorite hypothesis is a cross-reaction between microbial structures and HLA-B27, or that HLA-B27 itself might be a target of immune response. [antimicrobe.org]
The frequency of human leukocyte antigen (HLA)–B27 in HIV-infected patients who have reactive arthritis is the same as that in patients who have reactive arthritis without HIV infection. [emedicine.medscape.com]
Treatment
For human T-lymphotropic virus–1 (HTLV-1) infection, current treatment options are poor. [emedicine.medscape.com]
Viral Arthritis Arthritis Symptoms Cure For Arthritis Cold Treatment Arthritis Treatment The Cure Cardiology Relieve Bloating Warm Showers Forward Stress can easily affect your level of rheumatoid arthritis pain. [pinterest.co.uk]
Brewerton ends the story on a hopeful note, carefully explaining the prospects for prevention and treatment. [books.google.com]
This should be kept in mind when treating such patients, to understand any flare up of symptoms, irresponsive ness to treatment, etc. Viral arthritis patients undergo treatment in any hospital or clinic outpatient setting. [manipalhospitals.com]
FORWARD is conducting research into treatments and results of treatments experienced by people with viral arthritis, rheumatoid arthritis, osteoarthritis and all other rheumatic diseases. We need your help in researching these important issues. [arthritis-research.org]
Prognosis
Multisystem organ involvement and aggressive vasculitis can confer a dismal prognosis to these subset of patients. [hepatitis.imedpub.com]
Each of these patterns suggests a possible diagnosis and also the outlook or prognosis. Let's now take the best option - that it's gone away. [healthtalk.org]
What is the prognosis for people with vasculitis? There are various outcomes for people with vasculitis. For many people, vasculitis, especially if confined to the skin, may be annoying but never life-threatening. [resources.lupus.org]
It also has the best prognosis relative to disability and ultimate outcome. JIA Treatment Great strides are being made in treating JIA and other forms of arthritis. [healthychildren.org]
Prognosis If infectious arthritis is detected and treated promptly, joint damage is unlikely. However, joint damage is possible with many types of infections, especially when a bacterial infection is not diagnosed and treated promptly. [drugs.com]
Etiology
Abstract Various bacterial agents are considered in the differential diagnosis of acute arthritis, but little consideration is given to a viral etiology, although a variety of viral agents have been associated with clinical arthritis. [annals.org]
Current Opinion in Rheumatology: July 1996 Editorial overview: PDF Only Abstract Viral infections can present with different patterns of joint and soft tissue involvement, and the etiologic role of viruses in various rheumatic diseases is a subject of [journals.lww.com]
However, currently there are no licensed vaccines for infectious alphaviral arthritides, and due to a limited understanding of the etiology of the arthritic manifestations of disease, few treatment options other than standard pain relief therapy are available [pnas.org]
Distinction is made between the following types of etiological relationship: a) direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint; b) indirect infection, which may be of two types: a reactive [icd10data.com]
Rheumatic syndromes, which included reactive arthritis-like illness, psoriatic arthritis and idiopathic inflammatory arthritis of undetermined etiology have become exceeding rare but still persist. [rheumatologyadvisor.com]
Epidemiology
A careful consideration of epidemiological, clinical and serological features is therefore required to guide clinicians in making diagnostic and treatment decisions. [ncbi.nlm.nih.gov]
Brewerton tells the intriguing story of arthritis research, from the days before germs were recognized as causes of disease and when reasons for inflammation were obscure, to the present, when breakthroughs in genetics, epidemiology, X-ray crystallography [books.google.com]
Viral-associated musculoskeletal complaints which may include arthralgia, arthritis and/or tenosynovitis – generally present in a non-specific manner; therefore a high index of suspicion and attention to epidemiologic features of viral infections associated [rheumatologyadvisor.com]
Sicca syndrome Both experimental and epidemiological studies have depicted frequent relation between sicca syndrome and HCV infection. [hepatitis.imedpub.com]
Pathophysiology
Identifying viral infections related to rheumatic syndromes and understanding the pathophysiologic mechanisms by which they cause disease are crucial steps to furthering our understanding of the pathogenesis of rheumatic disease. [mayoclinic.pure.elsevier.com]
Abstract Identifying viral infections related to rheumatic syndromes and understanding the pathophysiologic mechanisms by which they cause disease are crucial steps to furthering our understanding of the pathogenesis of rheumatic disease. [ncbi.nlm.nih.gov]
Identifying and understanding the pathophysiologic mechanisms. Arthralgias and sometimes arthritis can be seen with a number of viruses, including parvovirus B19, acute hepatitis B, chronic hepatitis C, rubella. [gepysapotoquxolaxavy.xpg.uol.com.br]
The precise spectrum of joint manifestations is still being described, and description is limited by the fact that in most studies from endemic regions, there are few reliable data from microbiologic and pathophysiologic investigations. [consultqd.clevelandclinic.org]
Epstein-Barr virus Usually polyarthralgia but may cause arthritis Varicella-zoster virus Mumps virus Adenovirus or coxsackieviruses A9, B2, B3, B4, and B6 Cause polyarthritis, pleuritis, myocarditis Echovirus Pathophysiology Viral infection is dependent [boneandspine.com]
Prevention
It is always better to take appropriate precaution than prevention. You definitely want to prevent such kind of disease. So, consult your physician and take proper vaccines for it. Your doctor will tell you about the courses of vaccination. 3. [boldsky.com]
Prevention and Control Maintenance of strict sanitation and a rigorous biosecurity program are the most effective ways of preventing an outbreak of this disease. [articles.extension.org]
Practicing good hygiene can prevent many other infections and illnesses. [onlymyhealth.com]
The virus is resistant to heat, ether, chloroform, pH and environmental factors, therefore, good biosecurity and hygiene practices and an all-in/all-out production system are the best preventative measures. [poultryhub.org]
Prevention The best way to prevent infectious arthritis varies depending on the type of infection: Staphylococcal arthritis – If you have a staphylococcal infection, antibiotics can be used to prevent this type of arthritis. [drugs.com]