[Differential diagnosis of chronic urogenic arthritis].
OBJECTIVE
To investigate features of chronic urogenic arthritis (CUA) and its differences with psoriatic arthritis (PA) and ankylosing spondylarthritis (AS) with joint lesion.


METHODS
CUA, AS, PA were diagnosed according to S. M. Sidelnikova et al., S. van der Linden and Agababova, respectively, in 94 patients. The disease ran for more than 3 years. Articular syndrome was examined in CUA, AS and PA.


RESULTS
Articular syndrome in CUA remains for the most part monoarticular with affection of the joints of the low extremities. AS has clinical and x-ray signs of sacroileitis, affection of the spinal column and hip joints. PA runs with multiple arthritic lesions of the hand and foot joints.


CONCLUSIONS
Chronic infection persists in all the CUA and PA patients. Its exacerbation coincides with arthritis aggravations. Only in CUA there is a chronological connection between acute or aggravated chronic urogenital infection and initial symptoms of joint disease.
Kiseleva
N M
NM
Shubin
S V
SV
D000328:Adult; D001168:Arthritis / Q000175:diagnosis* / Q000209:etiology; D015535:Arthritis, Psoriatic / Q000175:diagnosis; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D008199:Lymphadenitis / Q000150:complications / Q000175:diagnosis; D012720:Severity of Illness Index; D013167:Spondylitis, Ankylosing / Q000175:diagnosis; D014570:Urologic Diseases / Q000150:complications*