Rheumatism


Rheumatism is one of those diseases that everyone knows about or at least has heard about. However, the common perception of rheumatism varies widely: from a childhood fear of sneakers (“You can’t wear them all the time – you’ll catch a cold and get rheumatism!”) to a more adult discovery: it is the heart, not the feet, that causes rheumatism. A careful study of available sources sometimes only confuses the situation. Indeed, h

ow to understand such a disease, in which not a single organ or even a functional system suffers, but a whole type of tissue in the body. Never

theless, this is exactly what happens in rheumatism. Sometimes it is prescribed: https://pillintrip.com/medicine/diclomec-sr.

Rheumatism
– An inflammatory-immune lesion of connective tissue, which is present almost everywhere in the body.
The definition of “inflammatory-immune” should be used exactly in this order: first the inflammation, then the immune response to it, and then the autoimmune attack on the body’s own connective tissue. This is akin to what a brave, fast, but not too accurate bodyguard can do, who keeps firing bursts after the invasion has been repulsed…

As a rule, connective tissue structures of heart, joints, vessels, subcutaneous layers are damaged. Rheumatic lesions of the central nervous system, the respiratory and visual organs, and the gastrointestinal tract occur much less frequently (1-6 percent in the total volume of rheumatism recorded).

There is no endemicity (regional dependence of epidemiological indicators) of rheumatism: people fall ill everywhere. However there is a clear dependence of the disease incidence on age (the 5-15 year-old category predominates among the primary patients) and also an inverse correlation with the standard of living of the population. Taking into account the fact that the majority of children on the globe (up to 80%) live in the so-called developing countries, it is not surprising that rheumatism is widespread in the “third wo

rld”.

Over the past quarter century, the incidence and mortality rates in Russia have more than tripled. However, w

hen we are talking about such a serious disease, and even more so with a predominantly early manifestation, no epidemiological data can be considered “satisfactory”, except zero. At present, however, the

statistics are inconsistent and mostly estimates (not only in Russia): as a rule, the data from the 1960s-90s are extrapolated to the present situation. More or less reliable estimation of disease incidence among Russian children may be considered an incidence of 2-3 cases per 10,000 (and more than 1.5% of all heart defects are rheumatic); for comparison, in third world countries the rate varies from 60 to 220 per 10,000.

To conclude the brief general overview, it should be noted that the term “rheumatism” itself is currently used mostly by Russian-speaking medicine. In the official international lexicon it is “Acute rheumatic fever”, “Rheumatic heart disease”, “Rheumatoid arthritis”, etc.; however, the ICD-10 code M79.0 (subheading “Diseases of the musculoskeletal system and connective tissue”) refers to “Unspecified rheumatism”.