72 Reactive arthritis.

Question 1

What is the cause of reactive arthritis?

Answer 1

Posturethritis - chlamydia or ureplasma urealyticum

Postenteritisw- shigella, yersinia , salmonella

HLAB27 genetic predisposition

Affects upping men

Question 2

What are the clinical features of reactive arthritis

Answer 2

1-4 weeks of latency ( preceding diarrhea and dysurea and pelvic pain urethritis and prostatitis)

Oligoarthritis - asymmetrical and migratory in the lower extremities

Sacroilitis

Enthesitis

Dactylitis

Question 3

What are the extrasolar manifestations of reactive arthritis

Answer 3

Conjunctivitis or iritis

Dermatology - balanitis circinata
Hypokeritinisation Of palms and soles
Oral ulcers

Question 4

Diagnosis of reactive arthritis

Answer 4

ESR and crp high
HLAB27 positive

Preceding infection for stool and uterine culture

Microscopy and culture of synovial fluid

• WBC
  Polly morphonuclear leukocyte predominant

Question 5

What is the treatment for reactive arthritis

Answer 5

NSAIDS
Cryotherapy and physiotherapist

If maids are ineffective intestinal or oral glucocorticoids

Chronic cases - methotrexate and sulfasalazine

Usually resolves spontaneously within a year
But high rate of reoccurrence ESP with HLAb27