Difference between revisions of "Arthritis Classification"

From WikiVet English
Jump to navigation Jump to search
(Created page with "[[Image:Cattle fibrinopurulent arthritis.jpg|right|thumb|100px|<small><center>Fibrinopurulent arthritis in cattle (Image sourced from Bristol Biomed Image Archive with permission...")
 
 
(One intermediate revision by the same user not shown)
Line 40: Line 40:
 
**Foreign material (urate crystals = gout)
 
**Foreign material (urate crystals = gout)
 
**Immune-mediated disease
 
**Immune-mediated disease
 
[[Category:Arthritis]]
 
==Infectious arthritis==
 
 
*'''Bacterial arthritis'''
 
**Most common in food animals, especially young
 
**Portals of entry include:
 
***Navel and GI tract -> bacteraemia
 
***Haematogenously -> polyarthritis
 
***Traumatic inoculation
 
***Extension from bone or periarticular soft tissue
 
 
*'''Viral arthritis'''
 
**Progressive inflammatory and degenerative joint disease
 
**Synovitis with cartilage destruction
 
**Chronic mononuclear inflammatory reactions
 
 
 
===In Sheep===
 
 
*[[Retroviridae|'''Maedi visna virus''']]
 
*Bacterial infections mostly affects lambs except for Mycoplasmal artheritis
 
*[[Erysipelothrix rhusiopathiae|'''''Erysipelothrix rhusiopathiae''''']]
 
 
*'''''[[Corynebacterium pyogenes]]'''''
 
 
*[[:Category:Streptococcus species|'''''Streptococcus'' spp.''']]
 
 
*[[:Category:Staphylococcus species|'''''Staphylococci''''']]
 
 
*[[:Category:Chlamydophila species|'''''Chlamydia sp.''''']]
 
 
===In Pigs===
 
 
*[[Erysipelas - Pig|'''''Erysipelothrix rhusiopathiae''''']]
 
 
*'''''[[Corynebacterium pyogenes]]''''' and [[:Category:Staphylococcus species|'''''Staphylococci''''']]
 
 
*'''''[[Haemophilus suis]]'' and ''[[Haemophilus parasuis]]'''''
 
 
*'''''[[Mycoplasma hyosynoviae]]'' and ''M. hyorhinis'''''
 
 
===In Cattle===
 
 
*Neonatal polyarthritis by:
 
**[[:Category:Streptococcus species|'''''Streptococcus'' spp.''']]
 
***Via umbilicus
 
***Also involves eyes and meninges
 
**[[Escherichia coli|'''''Coliforms''''']]
 
***Localises in joints and meninges in severe non-fatal neonatal colibacillosis
 
***May remain as chronic arthritis in larger joints
 
*Infections at any age:
 
**'''''[[Corynebacterium pyogenes]]'''''
 
***Suppurative arthrtis
 
***Often due to pebetrating wound into or close to joints
 
**[[:Category:Mycoplasmas|'''''Mycoplasma spp.''''']]
 
***May be respinsible for some chronic cases but difficult to prove as hard to isolate
 
***Fibrinous polyarthritis
 
**[[:Category:Chlamydophila species|'''''Chlamydia sp.''''']]
 
***Severe disease in young calves
 
***High mortality
 
***Can be seen in smears of synovial fluid from swollen joints
 
***Oedematous and hyperaemic surrounding tissue
 
***Possibly due to intrauterine infection
 
**'''''[[Brucella abortus]]'''''
 
***Uncommonly localises in joints
 
***Usually in '''carpal bursitis (hygroma) in cattle and bursitis in horses'''
 
 
===In Horses===
 
 
*Arthritis can occur following neonatal infections by:
 
**'''''[[Actinobacillus equuli]]'''''
 
**[[:Category:Streptococcus species|'''''Streptococcus'' spp.''']]
 
**[[Escherichia coli|'''''Coliforms''''']]
 
**[[Salmonella|'''''Salmonella''''']]
 
 
 
 
===In Goats===
 
 
*[[Caprine Arthrirtis Encephalitis Virus]]
 
 
===In Dogs===
 
 
*[[:Category:Staphylococcus species|'''''Staphylococci''''']]
 
**May cause '''discospondylitis'''
 
**Destructive inflammatory lesion
 
**Bacterial localise in ''[[Joints - Anatomy & Physiology#Fibrocartilagenous joints|''annulus fibrosis'']] -> may spread to local bone
 
 
  
 
[[Category:Arthritis]]
 
[[Category:Arthritis]]

Latest revision as of 16:17, 3 March 2011

Fibrinopurulent arthritis in cattle (Image sourced from Bristol Biomed Image Archive with permission)
Suppurative arthritis in cattle (Image sourced from Bristol Biomed Image Archive with permission)
  • Inflammation of intra-articular structures
  • In farm animals usually due to infection
  • In small animals usually due to non-infectious causes


  • Classification:
    • According to number of joints involved - polyarthritis
    • According to type of inflammatory exudate
      • Serous
        • Increased synovial fluid production
        • Resolves if uncomplicated
      • Fibrinous
        • Early stages:
          • Increased and more opaque synovial exudate
          • Enlarged hyperaemic villi
          • Small haemorrhages in synovial membrane
        • Later stages:
          • Less exudate
          • Thickend synovial connective tissue
          • Marked villi proliferation (branching in microscopic preparations)
          • Proliferated synovial tissue -> peripheral fibrous tissue attempting repair across defective surface = pannus
        • Mild cases resolve
        • More severe cases - residual inflammation remains
        • Most severe cases - organising fibrosis +/- ankylosis
      • Purulent
        • Usually from haemoatogenous spread e.g. neonatal navel ill
        • May extend from adjacent abscesses
        • More destructive
        • Erosion of articular surfaces to underlying bone
        • Forms abscesses
        • Possible fistulation to the skin


  • Caused by:
    • Trauma
    • Infectious organisms (e.g. bacteria, viruses)
    • Foreign material (urate crystals = gout)
    • Immune-mediated disease