Insta Keto Immunological mechanisms play an important role in the pathogenesis of recurrent cartilage inflammation. At the site of inflammation, the presence of immunoglobulin and complement deposits can be found, and in the serum of some patients, antibodies against collagen type II and matrylin I and the presence of immune complexes.The process of cartilage destruction begins from its outer surface and progresses deeper. Sinus damage and loss of chondrocytes occur in these places. Damaged cartilage is replaced by granulation tissue,
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