Rheumatoid nodules Diameter is 2-3 mm. As a rule, patients noted a variety of rashes. Rheumatoid nodules do not cause pain. They are located around joints. In particular, often localized rheumatoid nodule at the elbow. Often tumors are soldered with the surrounding tissue. Damage rheumatoid of a node can lead to the formation of ulcers.
The Mechanism of formation to the end of the medicine have not been studied. Most researchers are of the opinion that the start for the development of rheumatoid nodules is vasculitis. Pathological process is based on inflammation of the walls of small vessels in violation of the immune system. To such conclusion the doctors came after studies of tumors. In their structure were detected immune complexes.
Rheumatoid nodules can occur not only in rheumatoid arthritis. The same tumors are observed in systemic lupus erythematosus approximately 7% of cases. Photo of rheumatoid nodules presented in this article.
In most cases, tumors are localized in the subcutaneous tissue. They are located in the region of the elbow, and forearm.
The Primary location of the pathological tumors — this hands. They are located in the phalangeal and metacarpophalangeal joints. The skin over the joint turns red. Rheumatoid nodule on the finger restricts its movement.
Much less frequently tumors are located in the palms and fingertips. They can be not only hands, but also on the feet. As a rule, places of localization — the area exposed to the friction of the Shoe (heel and Achilles tendon).
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In patients who lead a sedentary lifestyle, rheumatoid nodules can hit the point of the buttock area on the buttocks.
In bedridden patients such tumors localized on the head, in the region of the vertebral column and sacrum. And patients who wear glasses, they are located on the bridge.
In the diagnosis of disease, presence of nodules for doctors has the leading role. Tumors can be sporadic and have small dimensions. In addition, they are not always localized in the typical disease.
Patients often do not notice the nodules, as they do not cause pain. Tumors rarely fester and ulcerate. Small sized tumors have a very dense structure. They can often be confused with doctor tophi that occur in gout. Rheumatoid nodules larger sizes have a structure similar to a dense rubber. They resemble a cyst, as their center is localized a small amount of liquid. Photo of rheumatoid nodules of this type are presented below.
Some patients tumors can easily move in the subcutaneous tissue, but in most cases they grow to nearby tissues. In this case, they may contribute to tendon damage.
The male patients older than 40 years of rheumatoid nodules are found in large numbers. The prevalence of tumors in patients may vary. Some people have observed isolated nodules, in others they are produced in large quantities.
Sometimes rheumatoid arthritis develops in a different scenario. Patients with a slight inflammatory process in the synovial membranes of the joint, which is characterized by the accumulation of fluid in combination with rheumatoid nodules. This disease is mostly common in men. It was called rheumatoid nodules.
Treatment of rheumatoid nodules suggests the elimination of the underlying disease — revmatoidnogo arthritis. This assumes the use of nonsteroidal drugs with anti-inflammatory action. These medicines are used quite often because they have not observed side effects.
Typically, when revertoida arthritis patients recommended "Meloxicam". The initial dose is 15 mg as inflammation it can be cut in half. The minimum dose is taken over a long period of time and serves to maintain the patient's condition.
The Drug "Nimesulide" is used 200 mg per day in two divided doses.
Also widespread "Celecoxib". Expected daily intake of the drug in the amount of 100-200 mg per day.
It is Not recommended to combine medications of the same group, since the result is zero, but the risk of side effects is quite high.
To basic medicines is "Methotrexate", "Ciclosporin", "Sulfasalazine", "Azathioprine", etc. These funds are presented immediately after the diagnosis of rheumatoid arthritis. If long time not observed any improvement in the condition of the patient, they complement hormonal balance, or replace.
Usually a combination of hormones helps to reduce the activity of the pathological process.
The purpose of basic drugs the doctor monitors the activity of the inflammatory process.
In severe disease, usually applied pulse therapy, involving the introduction of a large number of hormonal agents in combination with basic drugs.
Preparations containing hormones that are appointed with high inflammatory activity. In some instances, the gels, ointments and creams containing corticosteroids. They are assigned for local use in the region where subcutaneous rheumatoid nodules.
If the surface of ulcerated tumors, the prescribers contributing to the acceleration of epithelialization. Under the moderate nature of the inflammatory process applied hormone treatment in supportive doses. Take them in parallel with the underlying funds.
In rheumatoid arthritis it is necessary to suspend the development of such complications as osteoporosis. Therefore, patients assigned to calcium and vitamin D.
Laser therapy is one of the ways of treatment of rheumatoid arthritis. A high level of efficiency of this method is in the early stages of the disease. Laser therapy is used in courses (no more than 15 daily procedures).
For pain uses cryotherapy (cold therapy). Usually performed 20 procedures.
In the early stages of the disease is used electrophoresis of calcium. A beautiful effect has the use of magnetic therapy, pulsed current, and in severe cases, phonophoresis of hydrocortisone.
All patients affected with rheumatoid arthritis, the recommended therapeutic exercises and massage. These procedures contribute to the removal of spasms in muscles and quickly restore the function of damaged joints.
Arthritis is assigned hydrogen sulfide or radon baths, application of mud.
In the treatment of rheumatoid arthritis can be resort to folk methods. When the disease used compresses raw potatoes. They put on rheumatoid nodules.
The Peeled potatoes should be grate and put the resulting mass in the sieve. It with potatoes dipped for 2-3 seconds in boiling water. The content is immediately shifted in the cotton pouch. Hot potato is applied to the bundle, covered with cellophane and secured with a bandage.
The Nodules in rheumatoid arthritis balm are removed from the needles. This method of treatment is not addictive and can therefore be used over a long period of time.
To prepare the means taken 40 g of pine branches and dried berries rose hips in the ratio 1:1, and a small clove of garlic.
Pine branches boil in two liters of water for 30 minutes. Then the contents poured into a thermos. Two days later, the infusion is filtered. It should drink one glass four times a day. You can add a little honey to taste.
The presence of nodules revmatoidnykh good effect and have a bath with pine needles.
Rheumatoid arthritis is recommended to include in the diet more fruits, vegetables and berries. You can not eat tomatoes, eggplant and potatoes. You should reduce the intake of sugar, white bread and other flour products, drink more pure water (about 6-8 glasses a day).
For the successful control of disease requires fatty acids omega-3. They are contained in large amounts in seafood, canola oil and soybeans.
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