Tiemann's Disease - Causes, Symptoms, Diagnosis and Treatment

Tiemann first time the disease has been described by the German surgeon H.Thiemann the example of the boy's illness to 16 years. Today, it found that it Tiemann disease is hereditary and is transmitted in an autosomal dominant manner. Ill children and adolescents. The development of clinical manifestations of the disease is mainly in the period of sexual maturation of the child. Along with diseases such as disease Calvet, Kohler's disease and Osgood-Schlatter disease, a disease related to Tiemann osteochondropathy - degenerative non-communicable diseases of bone tissue, which are based on an aseptic necrosis. It is studied by experts in the field of rheumatology, orthopedics and traumatology.

arthralgia) and limited mobility in the joints of the fingers appear during the development of secondary osteoarthritis.

Tiemann's disease is often benign course. There are cases of spontaneous resolution of the disease and spontaneous recovery. After closing the ossification points to 50% underwent Tiemann's disease have normal radiographs with no signs of arthrosis. However, the other half of patients have expressed signs of secondary osteoarthritis.

traumatologist, orthopaedist or rheumatologist. However, the diagnosis of the disease in the early period of its development is very difficult. For this reason, patients often are treated with diagnoses of "arthritis", "tenosynovitis", "stretching". Only over time the development of necrotic process leads to the formation of the characteristic deformation of the interphalangeal joints, detectable by X-ray examination. Radiography of the bones of the hand determines the flattening resorption and defragmentation epiphysis affected phalanges. At the long duration of the disease may occur Tiemann radiological signs of deforming osteoarthritis: joint space narrowing interphalangeal joint, subchondral osteosclerosis, growth of osteophytes.

The clinical analysis of the blood in patients who have Tiemann's disease, there are no signs of inflammation: white blood cell count and erythrocyte sedimentation rate are normal. Blood tests for the presence of rheumatoid factor and C-reactive protein yield negative results.

Differentiate Tiemann disease must first be a juvenile form of rheumatoid arthritis, the effects of fractures or dislocations of the fingers, with endocrine or metabolic arthropathy and other arthritis: osteoarthritis, reactive arthritis, psoriatic arthritis, etc.

fixing bandage. Used mud treatment, magnetic therapy, acupuncture, massage, hand and forearm.