Psoriasis is an autoimmune skin disease, in some cases developing hyperproliferation of epidermal keratinocytes, combined with inflammation of the epidermis and dermis. Zasyaga from 1 to 5% of the population in various parts of the world is about 2%. A typical family predisposition for the development of illness is expressed. Skin lesions mogat and sa asymptomatic or associairani with sarbezh and nay-chesto sa localizirani along the scalp, extensornata surface on the lap and knees, place the seat (nay-chesto glutealnate ganka). Maybe yes, this is the skin around the pap, axilite, vezhde, perianal zone. Maintain skin lesions, papules and squami. Noktnoto angazhiran with psoriasis can be ulcerated with noktni vdlabvaniya, petna on noctitis (“daub petna”), onycholysis (stratified into noktnata plate), subungual hyperkeratosis. It is widely used in 10 to 40% of patients with psoriasis. Psoriasis is a precursor to arthritis in about 70% of patients, and is the most common clinical option. In about 20% of cases, psoriasis subsequently develops into a syndrome. In these cases, a diagnosis can be made in the course of tracing the diagnostic value of the presence of psoriasis in the family for the sake of honesty in determining the surname. At 10% of the disease, psoriasis and arthritis appear at the same time. Psoriatic arthritis (PsA) is a heterogeneous disease. Distinguish between the main clinical forms of arthritis with predominant angiran on the distal interphalangeal place; polyarthritis is symmetrical (rheumatoid arthritis - similar form); asymmetrical oligoarthritis; mutilating arthritis with osteolysis of the phalanges, metacarpals and metatarsal bones; axially oriented with asymmetrical sacroiliitis and spondylitis. A characteristic sign of PsA is the presence of enthesitis (inflammation of the ligamentous tendons and capsulitis of the costa). Dactylitis (diffuse edema on the prostate on the prescription or stapalata from the outer circuit on the site) is also a typical clinical finding in PsA.
For psoriasis and PsA, there is no specific laboratory marker with the exception of a negative test for rheumatoid factor. Hyperuricemia occurs at about 10-20% of patients in the context of accelerating the cell cycle on epidermal cells. X-ray characteristics of PsA include the presence of new bone formation in conjunction with marginal erosion, periostitis, etc. You can establish the presence of asymmetric sacroiliitis and paravertebral osification/syndesmophytosis.
Treatment for PsA includes nonsteroidal anti-inflammatory drugs, local or, in selected cases, systemic corticosteroids, pain-modifying antirheumatic drugs. For cytostaticitis, methotrexate, leflunomide, cyclosporine, etc. are used; from biological agents - tumor necrotizing factor alpha blockers (TNF-alpha blockers) - etanercept, adalimumab, golimumab, infliximab; Antibody sreshchu interlevkin 12/23 - uztekinumab. Treatment is determined by the appropriate rheumatologist, depending on the format of the disease and its activity, however, the individual case.
The Zeper / Zapper method or another resonant-honest bioresurgence therapy was originally discovered by Dr. Royal Raymond Rife again in the 30s for the 20th century.
Along with the beneficial microflora in our body, there are also unwanted “guests” - viruses, bacteria, parasites!
Nai-golemiyat Enemy for a man. All of them have their own integrity on treptene, so they call it bioresonance. The presence of “guests” is undesirable, causing many and varied health problems!
EVERY SINGLE HAS ITS OWN UNIQUE INTEGRITY ON TREPTENA.
Anesthetic microorganisms can be destroyed through electrical signals from the radio frequency range. The influence on electrical signals/impulses in the sky lasts for just a few minutes…. Drive to preksvane on takhnoto izlchvane. Parasites themselves are dead or irreversibly damaged and will still be separated from the body with the help of white blood of the calf.
Treatment for many “incurable/chronic illnesses” is not a chimera at all, Dr. Royal Raymond Rife proved again in the 30s of the 20th century. The president of 1920, a young American scientist, discovered the discovery of the virus on “incurable diseases,” isolating go and go injections at 400 plah. All animals were fed upon infection and subsequently recovered. Rife proves that every “incurable” illness has a bacterial or viral cause. And even if it is possible to overcome it, if you remove the primary cause (pathogen), honesty is determined.
Dr. Royal Raymond Universal Microscope at Dr. Rife
It is known that bacteria, viruses and parasites have their own integrity in trembling. If you don’t know, the pathogen may be destroyed if you don’t get it from her. Stenite on membranite is destroying and the pathogen is dying, Rife explained. That is, any illness caused by a pathogen - a bacterium or a virus, may be the same, but it will be destroyed and the body will be healthy again. Predimstvoto on “Rife treatment” is that it is not a single healthy human cell, so that it resonates with different values. In the list for Rife, I have more than 500 pains, which I could and overcome.
From his criticism on Rife, he paid respect to the colleague. As of November 20, 1931. On the 44th, from the nay-respect medicine in the country, they will give a banquet in honor of Negov under the words “Keep away from all the pain.”
Learn theories from Dr. Rife and methods for treatment, problems with society and publicity. Until 1939, doctors and researchers would almost completely deny what Rife had discovered. In the evening at the conference, at some point they will announce the results of the research on Dr. Rife, and one of the sponsors, Dr. Milbank Jones, former president of the Southern California Medical Association, is deadly honest, and the document disappears without a trace.
Dr. Rife is forced to stop doing this, so the American Medical Association (AMA) will encourage the process to meet him and method him for treatment. The trace has been recognized since the comprehension of this mu, the chief of the AMA for the time being, Maurice Fishbein has offered to buy a patent for the invention of this mu for a period of 8 years.
Trace of receipt of refusal Fishbein go dav on sad. Until the process continues, representatives from the Association are visiting the collaboration at Rife. Theses, they will refuse this and that, they will refuse the method and the system, they are ruining the medical license. There is no single medical journal that agrees and publishes the work. This is the only publication leaked by the censor of the Franklin Institute.
Docato Rife, giving testimony, laboratories mu sa pozhareni.
Dr. Nemes, koito ima copy na nyakoi ot tvorbite na Rife, dies in a mysterious fire. That is humiliating and all the research. A similar attack on the Burnet laboratory, somehow legitimizing the research on Rife. Prez 1946 Raymond Rife was forced to sell off some of the remains of the laboratory in San Diego to brocade brocade. Samiyat Royal Rife was killed by Prez in 1971 from an “accidental” lethal dose of alcohol in the Grosmont Hospital.
For one reason or another, the criticism against Dr. Rife was withdrawn, as Dr. Hulda Clark from the USSR did not publish her scientific work in the book “Treatment for all diseases”, based on the theory of Rife.
Dr. Clarke was born on October 18, 1928 in Rosthern, Canada. She completed her studies in science and biology at the University of Saskatchewan, where she completed 10 years of study and completed her master's degree (High honors). Prez 1958 from the University of Minnesota, you received a doctorate degree, which is based on applications to physics and the influence of the biological structure on the cell.
Dr. Clark founded a national research advisory agency at Indiana University (including Zapper Technology). At the very beginning, there was huge support from the federal agency and the government for subsidies for development, but under pressure on the pharmaceutical companies, the 1974 subsidy bivat eliminated. You are shy about development and design, but continue with your own funds.
Research on Dr. Clark, I will continue to study the interaction between microorganisms (such as parasites, bacteria, viruses) and their reaction to metal thrusts and the determination of the integrity of electrical impulses (something nowadays known as the Zapper technology).
Lock it, it’s important to open it on Dr. Clark. That is a small device, which crawled out barely before catching a 30KHZ impulse, but is deadly for parasites, bacteria and viruses.
Dr. Hulda Clarke has written 7 books: “The Cure For All Cancers”, “The Cure For All Diseases”, “The Cure For HIV and AIDS”, “The Cure For All Advanced Cancers”, “The Prevention of All Cancers”, “Syncrometer” Science Laboratory Manual" and the short version of "The Cure and Prevention of All Cancers" published Prez 2008 in connection with the disease and how it can help them! Please don’t forget the books and there is a lot of important information for theses, which is interesting from modernity, natural style on the stomach.
Dr. Clark has received many attacks from the PHARMACEUTICAL COMPANY - refusal to sell the patent for the technology and work together with them. For the sake of reason, why seek technology and teaching, and let it be available for everything without being unnecessarily exposed.
And now you can find out the trace of the fact and cause it, so we can see and what is the specific reason for your problems and how can you remove it?
RHEUMATOID ARTHRITIS, ARTHROSIS, COXARTHROSIS, STICKED ON STANDING
It’s not just the pain itself, but also the inflammation and swelling that affects you, as well as those who suffer from rheumatoid arthritis. A blood test can show the presence of “rheumatoid factor”. The reason for the sickness is the same; Tova sa Ascaris, Ancylostoma, Strongyloides and trichinella spiralis.
How do you cause parasites?
Every system has synovial fluidity (lubrication). Thy kato parasite sa zhivi organismi, kato takiwa imat “need from storage.” They will provide you with all the benefits and benefits, which is why we keep them safe. Vitamins, minerals, calcium, iron, potassium, phosphorus, magnesium and so on... Without these, the body cannot function, protect and support, all organs and systems...
The result is a paradox. The stoma is clean, the body is smooth.
Cato live organisms, parasites, they go to the “toilet”! The toilet was worn out. Please note that excrement is extremely toxic and dangerous to the body. Nay-chesto se natrupvat in put and exactly in the synovial flow.
Over time, synovial fluid diminished or completely disappeared. This is where you get everything from and pose PROBLEMS.
Without the synovial system, fluidity cannot function, “nothing remains.”
To ensure that everything functions correctly, put everything in place and heal the body. That tryabva and that, free from the cause/parasites.
It has long been proven that the production of synovial fluid (the body itself is a product), without which it cannot function. Sa necessary, necessary elements for the tova, it’s always clear where it’s coming from. When sewing on the “GUESTS”.
Parasites osven, “why do they live for our intelligence” and excrements are frozen by them and stop at distinguishing organs and systems in difficulty and functioning correctly. Depending on the product to which organ they were assigned. It can cause damage, both to the same organ and to other organs and systems in general.
This is where the wind comes from, bolt, otocyte and place the crooked wind on it.
Put diseases and catalyze the body, depend on the “bbrecite and black fraction”. Just sew it clean.
Kogato bbretsit and blacken the shot sa zamrseni / patched and not sa in state yes si varshat rabota.
Tyaloto reacted, “giving a signal”, kato morbidity, ototsi, izkrivyavane, etc....
The organism is trying to figure everything out, it is a single system, and not a separate organ “everything is interconnected.”
True and effective treatment e >>> Suspended for REASON.
As you say, if there is one thing that exists, it is absolutely SAFE for the world Hello. But e nay-golemyat the Enemy on parasites, viruses, bacteria, gabichki, protection, removing the Cause/Parasite, and not the “Symptom”…. The procedure itself lasts 21 minutes. Drive to preksvane on takhnoto izlchvane. Parasites themselves are dead or irreversibly damaged and will still be separated from the body with the help of white blood of the calf.
Tova does not mean either way, but for Tova you will recover your health for a short time.
They removed the cause of the “parasite”, but over time the body got rid of all the toxins, toxins and parasites from the pain.
In povecheto cases, invasions are found in “TOALETNATA”.
Dead parasites! Stones from gallstones!
The trace of the body is free from nekanenite si guests and toxins! There is not a trace left of Bolestt, but there is a lot of cleansing from the wind, a lot of cleansing and from the outside. Kogato nyama Cause, nyama and healthy problems.
Will you catch the man? Lekuvame/detached Cause, not “SYMPTOMS”!
Symptomite, bolestta, sami si izchezvat, kogato lipsvat i sa premahnati CAUSE.
You don’t need a doctor, an associate professor or a professor, so you can sort it out and understand it! Nito and imate nyakak experience for working with the device!
It is necessary to eat and destroy DEGRADIRALITY starting at the hospital and treatment in Modern Medicine.”
And may you get out of the omagnosaniyat krâg na Lost” and incur incurable illnesses.”
You can help me in any way, you can show me the rules, for some reason!
But you can’t help him, but he himself can’t help him!
Parasite in our body or come from the omagiosaniyat circle!
Everyone takes the decision and bears the consequences from it!
HOW DO YOU REPRESENT A LOCKER AND HOW TO REMOVE THE REASON FOR YOUR ILLNESS?
WITHOUT ANY RISK OR LOST EFFECT AT AN AFFORDABLE PRICE?
Locked, opened again by Zapper, originally opened by Dr. Raymond Rife again in the 30s of the 20th century. Is there any other reason why the criticism of Dr. Rife remains withdrawn, according to Dr. Hulda Clark from NASH did not publish your scientific work in the book “Treatment for all diseases”, based on the theory on Rife.
Lock it, it’s important to open it on Dr. Clark. That is a small device, which crawled out with barely a catch for something that cost 30 KHZ impulse, but is deadly for parasites, bacteria and viruses.
Zapper –S5 AUTOMATIC according to the diagram on Dr. Clarke is simply an electrical device that kills harmful bacteria, viruses and parasites through electromagnetic flight on the principle of bioresonance. The effect on the device in the sky lasts for just a few minutes... Drive to preksvane on takhnoto izlchvane. Parasites themselves are dead or irreversibly damaged and will still be separated from the body with the help of white blood of the calf.
The bioresonance device Locker -S5 AUTOMATIC is absolutely safe and harmless for all health.
Imayki foresight and tova, why work with “9 v bateria”!
Scabies on Parasite se distinguishes from scabies on choveshkite organi. Precisely zaradi tova, Zaperat e nay-Safety, universal and efikasen ured, which can be effective for all diseases “incurable/chronic”, Diseases. This is a lack of integrity and principle for action, killing and destroying the Parasite itself, without in any way influencing or damaging bacteria, organs and cells.
Help, Prevention and Impact for:
It allows effective treatment of both acute and chronic diseases; parasitic, bacterial and viral infections play a significant role in the etiology and pathogenesis. The theory for selective electrolysis of pathogenic microorganisms was developed by the American physician Dr. Rife and developed in the 20th century by Dr. Hulda Clark, a trace of which was confirmed by a group of researchers on all corners of the world.
The device can crawl independently into home conditions, but also in physiotherapy rooms in hospitals. During the session, the patient is in contact with the deuce electrode kam Zapera, which can be in contact, like with two rats or two cracks, so what is between the gums and the lyav krak or the lyava ryka with the gums krak!
How many procedures are performed daily and over what period?
Do 1 to 3 procedures, daily sessions for 15-30 days. There is a trace of something, a pause and a necessary procedure, everything will be repeated until the symptoms disappear.
For preventive purposes, the device is sufficient for 1-2 sessions “weekly”.
Desirable e device and se crawl from the tsyaloto family (dory and from the father).
Why do you need a long period of treatment?
Bioresonance device Locked -S5 AUTOMATIC destroys all species of parasites, the procedure itself.
But gbichkata “candida” (non-kanal, but present in every organism). Nay-golemyat is an enemy to man, just like a parasite.
It’s more alive and cellular in sewn cells (on many layers) and it’s degrading for a long time!
This is why you need a 15-30 day period for treatment, for this reason you should ruin it!
Zapper –S5 AUTOMATIC has three working cycles with a duration of 61 minutes. Separated from two pauses from 20 minutes. 7min. session – 20 min. pause – 7 min. session – 20 min. pause - 7 min session. The device automatically interrupts every next cycle (session), when it sounds a signal and shows the indicator, when you grab it again. The trace switches to all sessions, sounds a signal and automatically pauses.
The indicator pauses for 20 minutes. During the pause, you will leave it on. When the time for the next cycle has reached, the indicator will start again and the indicator will return to the next cycle. .At the time, for 7 minutes, the session, if you put it on and let it go, that spiral is automatically hidden and the soil is hidden from there.
This must also be done during cycle 1.2.3. ,(session booked)?
This is a cycle of killing viruses, bacteria and parasites, but in just a few minutes more bacteria and viruses will appear, and then they will infuse death of parasites.
The cycle is repeated by killing these viruses and bacteria. Soon everything will appear again in a small way.
The third cycle kills and virites, but it turns out very difficult.
Protect the virus, turning it into a parasite, without dying in the process of zeping? Electricity flows through the external circuits on the object and on the parasite, serving as a protective shield for the virus. It is for the sake of this that a single zeping (cycle) leads to partial or temporary improvement and an honest follow-up from the recognition of the disease.
Pause as necessary for a complete change in the status of the pathogen in the whole organism, which will help for the full value of it. Dr. Clarke initiated the study of a method called zeping. Neynite studies have shown that golyama is often from illness (in every case much worse, otkolkoto se reception) sa predizvikani precisely from helminths and pathogenic microflora, and the discovery is directed from it, setting the beginning on the szdavane on uredi, allowing the destruction of the parasite.
This direction is called Active Bioresonance Therapy. Neither one is sick nor invincible thanks to the new product and to the experience and experimental results.
What is it about Dr. Hulda Clark for Locking Up, which Samata has developed for one and the same honesty from 30 kHz and with 9 v battery?
At the beginning of her research, Dr. Clarke worked from a different perspective. But this is what it’s like.
The latest research shows that you can’t discern the honor of the invaders. Efficiency is more positive about honesty and tova than working with BATERIYA. We assume that positive electricity is applied somewhere and even at the same time, attracting negative objects, as well as parasites, viruses and bacteria. Maybe bi voltage on batteryitis gi pressure and izdarpva from tyakhnata localization.
It is possible to destroy all the invasions through Zeping/ Locked (itself in 7 minutes), it can truly be a panacea! There is no need to establish definitions of honor and yes, to preminava subred, prez vsichki honor kilohertz by kilohertz.
When the voltage is sufficient (5-10 volts), (lasting 7 minutes) and frequency (between 10 and 30 kHz). All positive voltages kill at the same time all parasites, bacteria and viruses.
All kinds of parasites, viruses and bacteria (kills in 7 minutes, at 5 volts) Generates positive results and results for the destruction of pathogenic organisms.
From the book on Dr. Hulda Clark
How does the Zapper-S5 AUTOMATIC work according to the diagram on Dr. Clark?
With the only universal frequency from 30 kHz and with a battery of 9 v?
Osven, what is it about the research, evidence and logic of Dr. Hulda Clark?
The imam's experience is not the last one and the experience is sufficient.
Without meaning how healthy there are problems. How can you figure out exactly how the parasite has been inflicted on you, for the sake of humiliating you, honor is defined. For the sake of the prostate, the reason why medicine “does not exist” until today in MODERNATA, as well as research, will reveal the presence of it on a parasite, virus or bacterium has been accurately identified.
Why doesn't such research exist? On the tosi question, can you please talk me out of it? There is only one moderately intelligent person!
Dory and all this, through some research (almost impossible), will accurately determine the parasite. Ima golyama probability, yes behold, “missed a friend.” Polzvayki distinguish between programs and honors, risk and miss, no parasite, virus or bacterium will be revealed. Kogato se work with different honors or with different programs, for a parasite is defined. Vie unischozhavate itself tosi concrete parasite, but what about se sluchva s ostonalite parasites, viruses and bacteria, koito not sa kriti and diagnostitsirani?
Let’s not even say that 99/9% of the diagnoses are SINS. Unknowingly, Dr. Hulda Clarke has provided another HUGE service to the community. She locked it up, which has been proven to destroy all types of parasites, viruses and bacteria. Maybe it’s crawling from all the people, Without knowledge in the basin of the region. And without yes, this is the burden and tarsite, they say, Parasite and honor with some kind of humiliation.
Let's repeat the casanoto from Dr. Clark!
The latest research shows that you can’t discern the honor of the invaders.
With sufficient voltage (5-10 volts) (7 minute duration) and frequency (which is between 10 and 30kHz). All positive voltages kill at the same time all parasites, bacteria and viruses.
Zapper –S5 AUTOMATIC osven, who worked according to the scheme on Dr. Clark, influences and destroys all types of parasites, viruses, bacteria. Providing and reinforcing the action of the immune system heals the body, actions and stimulation of the immune system. As a result, we are beginning to be resistant to attacks from parasites. Apparently the tone of life has increased, the pametta has improved and the deinost has become more cerebral. Another positive effect is accelerated on metabolism on the cellular level (metabolized into substances), which is why it begins to fade and overheat.
Is it clear that the Bioresonance device Zaperr S5-AUTOMATIC, describe the pain?
Zaperr S5- AUTOMATIC removes diseases, parasites, viruses and bacteria! And the organism itself selves. Kogato se premahva cause for sickness. Escape and symptoms, pain. No cause, no and effect!
Forgive me now, genius. Greatness lies in simplicity.
Is it imaginary page effect? NOT, but a therapeutic crisis is possible.
What is the meaning of a treatment crisis?
Treat the crisis, show what cleansing and health-improving processes are leaking into the body, which is the result of massive humiliation and ill-health on parasites and toxins from pain. Symptoms for treating crises, mogat da badat, priloshavane, gaden, vorshchanane, disorder, shave the skin, temperature, loss of weight and others….
Theses: Possible therapeutic crises, try and fix everything, positively. Vsichkata basin morsotia has been rubbed into the body, shaking and crawling out due to the beginning. The case is disgusting and we live with the tsyaloto tova “WEALTH”, in us. This is the true treatment. All that remains is an illusion and a parody of treatment!
PREFERRED AND DESIRED! For maximum, effective cleansing and support for the body, while freeing from parasites, toxins and waste from waste. Zapper -S5 AUTOMATIC and all combinations with water for Dr. Silver water. Silver water is prepared with Dr. Silver water, additional help to cleanse the body of parasites, toxins and waste. The two are similar, but the properties of the action are different. Additionally, this is a mutual and unique combination between the two (synergy).
WARNING! The bioresonance device Zapper -S5 AUTOMATIC is not for use with pacemakers, burdens and karmeschi zhenya!
Our mission or why we rule tova?
Let us help as much as possible in the choir and let us get rid of eternal times on getting lost, “incurable diseases” and Degradation in “modern medicine”.
Let's have some useful and valuable information, so that we can enrich our healthy culture.
And don't take it away!
Is there a desire and PYT!
Nyama Incurable Sick Ima Incurably Sick!
Why choose the Bioresonance device Zaperr S5-AUTOMATIC – ?
Over 20 years of experience in production on innovative products from proven engineering, without compromising on quality.
A new generation of advocates for bioresonance therapy (medicine for the future)!
Absolutely safe for health, but deadly for parasites, viruses and bacteria!
Compact and easy to use (AUTOMATIC). Not se iziskvat nikkvi knowledge for working with the device!
We carry wood (240 g). You can carry it anywhere with you!
Free online consultations and additional support, for an unlimited period of time!
WHAT IS THE PRICE FOR Zapper -S5 AUTOMATIC?
Ako determines the price of the Zapper -S5 AUTOMATIC based on the lack of function, the ability to bet, time, nerves, and stress. Suspended on cause for illness and Vuzstanovyavan on Vasheto Health!
Tova bi struvalo nyakolko khilyadi.I investitata pak shcheshe yes si deserved it!
No support is sought by Dr. Hulda Clark, technology and may you get it for everything, without undue speculation and speculation.
For yes you can do everything you can from the Zapper -S5 AUTOMATIC at an affordable price!
Paradis is extremely interested and exhausted Possibly;
At the moment Zapper -S5 AUTOMATIC yes NOT in cash!
Reactivate arthritis is a heterogeneous group of inflammatory diseases that are associated with a preexisting infection, but the causing infectious agent cannot be installed in the structure of the shutters. They will attribute this group to seronegative spondyloarthropathy. Includes a wide range of post-viral and post-bacterial arthritis. Common causes of reactive arthritis are Chlamydia trachomatis, Salmonella, Campylobacter, Yersinia, Shigella flexneri. Reactive arthritis, which develops a trace of a preexisting infection on the chronosmilate or pico-genital system and is characterized clinically with a triadate - arthritis, conjunctivitis, urethritis/cervicitis or gastroenterocolitis, which is what the term Reiter-Leroy syndrome means. The average incidence of reactive arthritis associated with various microbial causes is believed to be about 100-200 cases per 100,000 population. Factors that will influence the pathological process, structural and functional characteristics of the infectious agent, genetic factors (presence of HLA B 27 antigen) and immune responses to the body.
Stagnation in the syndrome on Reiter-Leroy is usually contrary to the type of asymmetric oligoarthritis (zasyagane on up to 4 shutters of the zone) with a tendency for predominantly oriented on the golemite put on the long extremes. You can also establish the presence of dactylitis (diffuse edema on the prostate on the chart or stapalata from the outer circuit on the chart), which is a typical finding in seronegative spondyloarthropathy. Another characteristic symptom is e bolkata in the crus or ischium in the context of acute sacroiliitis. The inflammation is usually quite intense throughout the last few weeks. In some cases, symptoms may be delayed for a few months. In any patient with arthritis, arthritis progresses chronically with remission and exacerbation. The anamnesis contains evidence of a previous infection (discomfort during urination, pathological genital course, diarrhea), and usually there is an interval between the manifestation of neuronitis and symptoms of reactive arthritis, for the sake of which the patient is considered an independent disorder. After all, the infection is often asymptomatic. Reveal the specifics of the syndrome on Reiter-Leroy, so they can give you an accurate diagnosis. A characteristic development is that of enthesitis (inflammation of the back of the knee and the flesh of the tendons and ligamentitis of the costa), which is a characteristic clinical sign of the central group of seronegative spondyloarthropathy. Characteristics of localization of enthesitis in the Achilles tendon, plantar fascia, and coitol extend clinically from the spinal cord to the posterior surface of the glen and the spinal cord in the petata, and in some cases from the edema. Mogat yes se observovat redica pathologically manifest from the country on ligavicitis cato conjunctivitis, oral aphthosis, genital ligavitsa lesions.
Laboratory and instrumental research
In case of Reiter-Leroy syndrome in the acute stages, it is possible to establish a significant inflammatory response from increasing resistance to speed on erythrocytitis (ERC) and CRP. Standard tests for rheumatoid factor and general antinuclear antibodies are negative. According to the definition of what causes the body, it is not isolated from segnatitis from inflammation, but it can be proven in various microbiological tests. Prescribe a series of studies of cathocoproculture, urethral/cervical secretion, uroculture.
Radiography on the stage, musculoskeletal echography and nuclear-magnetic resonance can also be used for the proven presence of inflammation in exchange from the country to the musculoskeletal system - arthritis, enthesitis, sacroiliitis are peripheral.
In about 80% of cases, symptoms will subside within one year. In a patient with a positive HLA-B27 antigen, the prognosis may be unfavorable, clinically difficult, and in many cases hospitalization may even be necessary. In ostanalate, chronic arthritis with episodes of exacerbation and inflammation can often develop. The patient should be given instructions regarding the need to protect against infection in the future.
Treatment includes non-steroidal anti-inflammatory drugs, antibiotics, corticosteroids, medications and, in some cases, pain-modifying antirheumatic drugs. The exact therapeutic plan is determined by the appropriate rheumatologist, depending on the individual case.
R. Shumnalieva and Zl. Kolarov. Pathogenetic role on the virus on Epstein-Barr and on cytomegalovirus for vznikvan, podderzhane and activirane on synovialnate inflammatory reaction in patients with rheumatoid arthritis
D. Tanev, R. Robeva, A. Tomova, F. Kumanov, R. Rashkov and Zl. Kolarov . Systemic lupus erythematosus and androgens
M. Ivanova, R. Stoilov, M. Platikanov and I. Manolova. Pilot study on Serumnit Niva on TNF-? introduction to clinical and laboratory parameters on pain activity in the Bulgarian population from ankylosing spondylitis
R. Rashkov and D. Kalinova. Clinical and immunological profile for diseases treated with drug-induced lupus
D. Vacheva and M. Ivanov. Medical rehabilitation and ergotherapy for patients with trace fracture on the distal radius
TO HELP FOR PRACTICE
I. Sheitanov, R. Rashkov, Tsv. Petranova, S. Monov, A. Batalov and R. Nestorova . Ultrasonography on small animals - diagnostic capabilities
PATHOGENETIC ROLE ON VIRUS ON EPSTEIN-BARR AND ON CYTOMEGALOVIRUS FOR VZNIKVANE, SUPPORT AND ACTIVAN ON SYNOVIALNAT INFLAMMATORY REACTION IN PATIENTS WITH RHEUMATOID ARTHRITIS
Rheumatology Clinic, MU – Sofia
Summary. The review analyzes data from studies on the role of Epstein-Barr virus (EBV) and cytomegalovirus (CMV) in the etiopathogenesis of rheumatoid arthritis. Considering the correlation between viral particles isolated from the synovial membrane, and antiviral antibodies in the serum on pain, as well as their pathogenetic role in initiation, support and forsiran on an autoimmune inflammatory reaction in patients with rheumatoid arthritis.
Keywords : Epstein-Barr virus, cytomegalovirus, rheumatoid arthritis, synovial biopsy
SYSTEMIC LUPUS ERYTHEMATOSUS AND ANDROGENICS
D. Tanev 1, R. Robeva 2, A. Tomova 2, F. Kumanov 2, R. Rashkov 1 and Zl. Kolarov 1
2 Clinical center for endocrinology and gerontology? Sofia
Key thoughts: immunity, SLE, testosterone, DHEAS
D. Kalinova and R. Rashkov
1 Rheumatology Clinic, UMBAL “St. Ivan Rilski” – Sofia
Idiopathic inflammatory diseases on the muscles? myositis (IVM), drug-induced, endocrine, toxic, metabolite, infectious myopathy, muscular dystrophy. In rheumatological practice, it is important to differentiate between different types of myopathies, from one country to another? Yes, they will differentiate them from rheumatic diseases, characterizing them with muscular
weakness, aggravated or not with myalgia. Celta on the study and direct the analysis to the nosological affiliation with muscular pathology in the conditions of standard rheumatological practice. Byakh traced 60 patients? 47 women and 13 men. When diagnosing a disease, various diagnostic methods are used. Establishment of idiopathic inflammation
diseases on the muscles in 64.9% of patients; muscular dystrophy? at 6.7%; endocrine myopathy? at 5%; medicines for myopathy? at 5%; toxic myopathies? at 1.7%; viral myositis? at 10%; myasthenic syndrome Eaton-Lambert? at 1.7%. Among the group with idiopathic inflammatory disease on the muscle, dermatomyositis (DM) was diagnosed in 35.2% of the disease; polymyositis (PM) ? at 29.7%; myositis, covering with other systemic diseases on the connective tissue tissue (overlap myositis), ? at 27%; tumor-associated myositis? at 8.1%. Among other rheumatic diseases with muscular pathology, there are 3 diseases with rheumatic polymyalgia and 2 with fibromyalgia.
Key thoughts: nosological affiliation, muscular pathology, rheumatological practice
PILOT TRAINED ON SERUMNITE NIVA ON TNF-? BOX WITH CLINICAL AND LABORATORY PARAMETERS FOR PAIN ACTIVITY IN BULGARIAN POPULATION FROM ILLNESS WITH ANKYLOSIC SPONDYLITIS
M. Ivanova 1, R. Stoilov 1, M. Platikanova 2 and I. Manolova 3
2 Category “Hygiene, infectious diseases and epidemiology”, MF at TU? Stara Zagora
3 Laboratory of Clinical Immunology, UMBAL? Stara Zagora
CLINICAL AND IMMUNOLOGICAL PROFILE IN DISEASE WITH DRUG INDUCIRAN LUPUS
R. Rashkov and D. Kalinova
Keywords: immunological profile, drug-inducing lupus
MEDICAL REHABILITATION AND ERGOTHERAPY FOR PATIENTS TRACE FRACTURE ON DISTAL RADIUS
D. Vacheva and M. Ivanov
Key words: rehabilitation, ergotherapy, fracture, distal radius
TO HELP FOR PRACTICE
ULTRASONOGRAPHY FOR MALKI STAVI? DIAGNOSTIC CAPABILITIES
I. Sheytanov?, R. Rashkov?, Color. Petranova?, S. Monov?, A. Batalov? and R. Nestorov?
?Rheumatology Clinic, MU – Plovdiv
?Rheumatology Center “St. Irina" ? Sofia
WRITTEN RHEUMATOLOGY: CONTRIBUTION: 2011: BROY 2: Dump in PDF format
RHEUMATOLOGY : CONTENT : 2011 : ISSUE 2 : Download PDF
Reactive arthritis is a serious joint disease that has its own characteristic features.
This form of arthritis is accompanied by one or more symptoms:
Inflammatory processes in the gastrointestinal tract.
Inflammatory processes in the genitourinary system.
According to available statistics, the data of which are published in specialized medical publications and the media, reactive arthritis is most often diagnosed in patients whose age ranges from 30 to 40 years. In men, most cases of the disease were identified, which was caused by a genitourinary infection. Representatives of the female and male half of the population are equally often diagnosed with reactive arthritis, which develops against the background of progression of intestinal infection (dysentery).
According to many experts, reactive arthritis is a rheumatic disease, which in the active stage of its development can affect vital organs and systems of the human body.
Most often, problems arise in the following organs:
in the soft tissues of the organs of vision;
on the skin (in the form of a rash, ulcers or urticaria);
on the oral mucosa, etc.
In recent years, it is the reactive form of arthritis that is most often diagnosed in the population of different countries of the world, causing severe damage to the musculoskeletal system in people, regardless of age and gender characteristics. Many rheumatologists believe that if reactive arthritis was not provoked by an intestinal or urogenital infection, then it should be classified as Reiter's disease. This is due to the fact that in only 4% of cases with this form of arthritis, infections of the genitourinary system were detected.
At the initial stage of development, reactive arthritis in most patients manifests itself in an acute form.
Based on the results of numerous studies, it was found that the first symptoms of this disease appear 2 weeks after the patient is infected:
The temperature in the area of the affected joints increases. To determine the heat in the joint, simply place your palm on the site of the injury. To relieve fever, it is recommended to use compresses.
The joints (ankle and knee, as well as elbow and wrist, joints of the hands and feet) become swollen. Sometimes the swelling quickly spreads beyond the contours of the joints.
Pain syndrome develops in the joints. Pain occurs, mainly when walking or performing other movements of the affected lower or upper limb. Many patients experience dull, twisting or aching pain with any physical movement, which subsides slightly at night. They also experience discomfort when palpating the area of the joint affected by the disease.
Stiffness of movement appears due to impaired outflow of joint fluid. Sick people cannot actively move or perform physical exercises.
An articular syndrome appears, which is accompanied by pain, asymmetric oligaorthritis, joint damage, swelling, etc.
Infections are detected in the genitourinary system, nasopharynx, and intestines (accompanied by characteristic symptoms). Urogenital infections accompany diseases of the genitourinary system such as urethritis and cervicitis, and the complications that develop against them.
There is an expansion of the joint space and swelling (periarticular) of the soft tissues (easily determined by radiography).
The eyes and skin become inflamed (conjunctivitis, irritation of the mucous membrane, weakened visual activity, urticaria, psoriasiform rashes, stomatitis, etc.).
In the initial stage of development of reactive arthritis, patients show signs of sacroiliitis (spinal damage), kidney disease, heart disease (tachycardia), and nervous system disorders.
Fatigue, loss of performance.
General malaise, sudden weight loss.
Feverish conditions, often accompanied by an increase in temperature, or chills, etc.
Found an error in the text? Select it and a few more words, press Ctrl + Enter
Based on the results of numerous studies conducted by specialists from around the world, it was found that reactive arthritis in most cases develops against the background of poor heredity. Modern medicine is able to detect this disease at the genetic level. This happens thanks to special laboratory tests that use reagents that determine the genetic markers of HLA-B27. Despite the hereditary predisposition, reactive arthritis will only appear in patients when they are infected with the disease.
The following provoking factors can be considered as the causes of reactive arthritis:
various bacteria (Salmonella, Yersinia, Shigella, Campylobacter);
infectious diseases (dysentery);
genetic predisposition to this disease (reactive arthritis is most often detected in carriers of the HLA-B27 antigen);
infection of the patient with harmful microorganisms that penetrate the human genitourinary system (for example, chlamydia Chlamydia trachomatis, Ureaplasma urealyticum), etc.
If characteristic symptoms or any discomfort in the joint area is detected, the patient should contact a highly specialized specialist - a rheumatologist.
At the appointment, the doctor must correctly collect an anamnesis of this disease, and then prescribe the patient a set of laboratory tests and hardware diagnostics:
clinical and biochemical blood test;
general urine analysis;
other blood tests, through which the following indicators are determined: antibodies, antigen, sialic acids, etc.;
smears from the cervical canal and urethra;
stool culture to identify pathogenic microflora;
radiography (of the spinal column, joints of the lower and upper extremities);
magnetic resonance or computed tomography, etc.
Diagnosis of reactive arthritis is carried out based on the data of the initial examination, during which the specialist identified the main signs of this disease, and the results of laboratory and hardware examination of the patient. Thanks to timely X-rays, the doctor can identify any, even minor, changes in the musculoskeletal system. Sometimes hardware diagnostics can detect calcifications that are located on bone tissues in the area of which inflammatory processes have occurred.
If a patient who has been diagnosed with reactive arthritis experiences eye inflammation, the attending physician will refer him for a consultation with an ophthalmologist. A highly specialized specialist will not only determine visual acuity, but also identify the degree of inflammation, and then prescribe drug therapy.
After a comprehensive diagnosis of reactive arthritis, the specialist chooses the method by which this disease will be treated. The method of therapy will directly depend on the location of the disease and the stage of its development.
In most cases, this category of patients is prescribed:
Non-steroidal medications with anti-inflammatory effects. When taking them regularly, patients may experience various side effects: ulcers appear, gastrointestinal disorders develop, and internal bleeding begins.
When treating reactive arthritis, patients are prescribed corticosteroids. This group of drugs, including prednisolone, can significantly reduce the inflammatory process in the joints and tendons of the upper and lower extremities. They can be taken in any convenient way: in the form of ointments; in tablet form orally; in the form of injections (injected into the affected joint).
In the case where the patient's reactive form of arthritis was provoked by sexually transmitted or viral infections, he is prescribed a course of antibiotics.
In parallel, the patient should take probiotics, the functions of which are to mitigate the effects of antibiotics on the human gastrointestinal tract.
Patients who have been diagnosed with a persistent form of reactive arthritis are prescribed sulfaziline. This medication may cause various side effects such as bone marrow suppression and skin rashes. After a course of sulfaziline, patients must undergo laboratory examination and blood tests.
For inflammatory processes in the eyes, patients are prescribed special drops. A severe form of inflammation will require more serious treatment, which includes cortisone injections.
In case of an inflammatory process in the area of male or female genitalia, the attending physician prescribes a course of therapy with creams that contain cortisone.
For reactive arthritis caused by intestinal or urogenital infections, patients are prescribed antibiotics specific for the identified groups of bacteria.
If an inflammatory effusion has been identified in a patient, then specialists carry out a set of measures to evacuate it from the damaged joint cavity of the upper or lower limb. In parallel, this category of patients is prescribed ointments, creams, gels, which contain dimexide, which has an anti-inflammatory effect.
Patients diagnosed with reactive arthritis are recommended to undergo various physiotherapeutic procedures, such as cryotherapy, phonophoresis, sinusoidal modulating currents, etc. A course of physical therapy, during which patients perform specially designed exercises under the supervision of an experienced instructor, is of great benefit in the treatment of this disease.
After the inflammatory process in the area of damaged joints has been relieved, patients are prescribed medicinal baths. During such water procedures, salts from the Dead Sea, as well as hydrogen sulfide and hydrogen sulfide salts are usually used. In parallel with the therapeutic baths, you can undergo a course of mud therapy.
Regardless of what therapy was used in the treatment of reactive arthritis, patients are recommended to undergo tests at regular intervals that can show the presence of infection. If any bacteria that can provoke the re-development of reactive arthritis are identified, patients are prescribed a course of therapy, including a new group of antibiotics (when choosing the most effective drugs, patients are recommended to undergo a special test).
For patients who have undergone comprehensive treatment for reactive arthritis, there is the following prognosis for future life:
in 20% of cases, signs of the disease disappear within 6 months;
after properly selected treatment, there is no relapse of the disease;
in 25% of cases, reactive arthritis enters the chronic stage, progressing only in the acute phase;
in 50% of cases, the disease begins to progress with renewed vigor after a certain period of time;
only in 5% of cases a severe form of reactive arthritis leads to deformation of the spine and joints.
In order to prevent reactive arthritis, experts recommend carrying out a set of measures:
avoid casual sexual intercourse, during which you can become infected with urogenital infections;
maintain personal hygiene;
lead a healthy lifestyle;
eat healthy foods;
undergo a medical examination in a timely manner, etc.
Author of the article: Muravitsky Igor Valerievich, rheumatologist
Arthritis is an inflammatory disease of the joint. With arthritis, you will feel pain in your joints, especially when walking. Sometimes the skin over the affected joint begins to turn red and develop a fever. If one joint is inflamed, then the disease is called monoarthritis, and if several joints are involved in the process, then it is called polyarthritis.
Knee arthritis is inflammation of the intra- and periarticular areas of one or both knees. Another name for the pathology is gonarthrosis or gonarthrosis (from the Greek gony - “knee”). The statistics for the incidence of knee arthritis are as follows: approximately half (35 to 52%) of people.
Arthritis of the hands is an inflammatory process localized in the corresponding joints. Arthritis of the hands and fingers is a common condition. According to the latest data, this disease affects every seventh inhabitant of the planet. In most cases, women are affected.
Arthritis of the legs is an inflammatory disease manifested by damage to the joints of the legs. With some types of arthritis, patients suffer not only from joints, but also from internal organs - heart, kidneys, liver. Arthritis often leads to disability. Therefore, it is so important to seek help from a specialist at the first signs of illness.
Quite often, to combat arthritis (especially at the initial stage), chondroprotectors are prescribed - drugs that protect cartilage tissue, which are taken in courses. One of the most effective chondroprotectors is glucosamine. It is included in almost all arthritis medications. However, not all forms of glucosamine are equally beneficial. For example.
Arthritis manifests itself against the background of various injuries or destabilization of metabolic processes (for example, gout). Arthritis can be part of some other ailments (for example, systemic inflammatory diseases, connective tissue problems or vasculitis and much more).