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These examples

November 26, 2008

These examples show importance of unification of the nomenclature which in turn reflects level of knowledge of essence of illnesses. That is why at revisions of classifications nomenclature revision, as a rule, is simultaneously spent. Practically there were a curiosity terms «collagenic illnesses», “collagenoses” in connection with finding-out, that not only the collagen pathology defines essence of illnesses of a connecting tissue order ultram tramadol hci tablet , but also involving in process of all its components, i.e. Its diffusive lesion. Therefore more modern rubrication – «diffusive illnesses of a connecting tissue» () is entered also. However it is necessary to underline, that the term «collagenic illness» has kept the historical value as a certain stage of development of rheumatology. The term «saline arthropathies», based on the concept of adjournment of salts occurring in the past in articulate structures as the pathology reasons mismatches modern level of knowledge.
With specification of structure of microcrystals which can really be postponed in various articulate tissues at a gout (lithates), a chondrocalcinosis ( you), more proved became the name «microcrystallic arthropathies». The term “pseudorheumatism” has strongly replaced the term «an infectious nonspecific polyarthritis» that corresponds also to such widely applied designations as «the rhematoid factor», «a rhematoid carditis», etc. Unfortunately, the term «» is not supported by opening of etiological essence of illness. Terminology is not unified yet. In effect it only a variant the chronic arthritis, close to adults, and, apparently, for such illnesses in a larger measure is justified the name use «chronic an arthritis». Term application « a tsionno-allergic polyarthritis» as it did not stimulate searches of concrete etiological factors is not justified. Allocation of group of reactive arthritises that provides necessity of finding-out of concrete aetiologies has appeared more progressive. The listed remarks do not settle at all the information on the modern nomenclature in rheumatology, and the attention of the reader is only drawn to this very important question.
The nomenclature and classification – closely bound two concepts as the first is necessary for the most correct designation, and the second – for the most proved grouping of illnesses. First domestic classifications have been order vpxl pill framed in 1928-1930 by All-Union antirheumatic committee according to which allocated three groups of illnesses – a rheumatic fever, illnesses of joints and «muscular rheumatic disease». In 1971 Working classification of diseases of joints and extraarticular soft tissues of a locomotorium »has been accepted«. The Primary goal consisted in paying attention of rheumatologists to illnesses of joints in which they practically were not engaged until the rheumatic disease problem has been solved. This classification has been based on a clinico-pathogenetic principle according to which all illnesses of joints have been parted on four groups: 1) independent forms of diseases (arthritises and arthroses); 2) secondary articulate syndromes; 3) traumatic damages; 4) diseases soft tissues. Classification, certainly, has played a positive role, having allowed practical doctors to receive representation about all range of rheumatic diseases of joints. For the last years much in rheumatology has changed, new forms are described, out-of-date concepts are reconsidered. That is why at III All-Union congress of rheumatologists (1985) the project of new classification in which basis principles of clinical grouping of diseases are put has been approved, and the etiological orientation has found reflexion only at association infectious (bacteriemic, virus) and reactive (postinfectious) arthritises. By preparation of this classification already existing national classifications (-1983, Germany-1979) have been considered, that has allowed to unify views to a certain extent. The primary goals of working classification and nomenclature (, 1985) consisted, first, in that it is as much as possible full, according to modern representations to generalise all forms of diseases, and, secondly, to facilitate to the doctor diagnostic, differentsialno-diagnostic process, a choice of optimum ways of treatment and whenever possible a forecast estimation. In classification the modern nomenclature is reflected: an arthritis for a designation not only , but also other diseases of children’s and youthful age, for illnesses of peripheric ligaments and muscles, etc.

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