8.22 Systemic disorders 3

Question 1

What is reactive arthritis?

Answer 1

joint pain and swelling that is triggered by an infection in another part of the body

Question 2

psoriatic arthritis

Answer 2

form of arthritis that affects some people who have psoriasis

Question 3

How does psoriatic arthritis begin?

Answer 3

• most develop psoriasis first

- joint problems can begin before skin lesions appear

Question 4

primary symptoms of psoriatic arthritis

Answer 4

• joint pain
• stiffness
• swelling

Question 5

How are psoriatic arthritis and reactive arthritis similar?

Answer 5

both may alternate with flare-ups and periods of remission

Question 6

Reiter’s syndrome is a type of

Answer 6

reactive arthritis

Question 7

What are some of the s/s of Reiter’s syndrome?

Answer 7

redness, joint swelling, and pain

Question 8

Where do the redness, joint swelling, and pain often arise in Reiter’s syndrome?

Answer 8

• knees
• ankles
• feet

Question 9

In addition to the knees, ankles, and feet, where might inflammation also occur with Reiter’s syndrome?

Answer 9

• eyes

- urinary tract

Question 10

Treatment for Reiter’s syndrome

Answer 10

• no cure

- can control symptoms

Question 11

How long does it take for Reiter’s syndrome s/s to go away?

Answer 11

2-6 months

Question 12

Reiter’s syndrome: eyes

Answer 12

conjunctivitis

inflammation of the eye, usually brief and mild

Question 13

Reiter’s syndrome: urinary tract stuff

Answer 13

• UTI
• may include inflammation of prostate or cervix
• men may have pus drainage from penis

Question 14

Reiter’s syndrome: UTIs

Answer 14

• pain or burning during urination

- frequent urges to urinate

Question 15

What can happen to the penis with Reiter’s syndrome?

Answer 15

• pus-filled sores

- painless, shallow upcers

Question 16

What other types of things can happen with Reiter’s syndrome (sores)

Answer 16

• sores on soles of feet and palms
• mouth sores
• small nodules on soles of feet and sometimes the palms of hands (or elsewhere)

Question 17

Health hx risk factors for psoriatic arthritis

Answer 17

• psoriasis

- family hx

Question 18

Health hx risk factors for Reiter’s syndrome

Answer 18

• more common in males
• VD
• dysenteric infection
• no family hx
• gene

Question 19

Reiter’s syndrome: which males are more likely to get it?

Answer 19

• white males

- 20-50 y.o.

Question 20

Reiter’s syndrome: gene?

Answer 20

HLA-B27 gene

Question 21

Health hx risk factors for septic arthritis

Answer 21

• systemic corticosteroid use
• DM
• infection elsewhere in the body
• direct penetrating joint trauma (i.e. injections)