Kashin - Beck disease

Fig. 1. Deformation of the bones of the forearm

Kashin - Beck disease (synonym: uravska disease, deforming endemic osteoarthritis) - an endemic disease of children and young people, as expressed in the joint deformation of the upper (Fig. 1) and lower extremities with limited mobility, the development of flexion contractures.
The disease Kashin - Beck was observed for the first time large numbers of people, in Transbaikalia and other regions of Eastern Siberia. Individual cases occurred in the European part of the Soviet Union. Currently, the incidence declined sharply.

Fig. 2. Krotkofalowcy and thickening of the fingers ("bear paw").

The emergence of the disease Kashin - Beck associated with impaired mineral metabolism, in particular has is the lack of calcium in drinking water. In children 6-15 years of age, more often in boys appear aching pain in the joints, increased fatigue; in 2-3 years the process causes disfigurement extremities and spine, muscular atrophy. In severe cases thicken interphalangeal joints of fingers (rarely stop) with deformation of the brush in the form of so-called bear's feet (Fig. 2).
Treatment - calcium-phosphate preparations, fish oils, vitamins, balneotherapy, physiotherapy, prosthetic orthopedic devices, sanatorium-resort treatment.
Prevention. Due to the fact that the disease is associated with a lack of calcium salts in the water and its consumption of wetlands, it is recommended that the draining of marshes, the use of clean and saline water from the deep layers of soiland sufficient saturation of the soil in the centers of endemic mineral concentrates, especially salts of calcium.