8.22 Systemic disorders 3 Flashcards
What is reactive arthritis?
joint pain and swelling that is triggered by an infection in another part of the body
psoriatic arthritis
form of arthritis that affects some people who have psoriasis
How does psoriatic arthritis begin?
- most develop psoriasis first
- joint problems can begin before skin lesions appear
primary symptoms of psoriatic arthritis
- joint pain
- stiffness
- swelling
How are psoriatic arthritis and reactive arthritis similar?
both may alternate with flare-ups and periods of remission
Reiter’s syndrome is a type of
reactive arthritis
What are some of the s/s of Reiter’s syndrome?
redness, joint swelling, and pain
Where do the redness, joint swelling, and pain often arise in Reiter’s syndrome?
- knees
- ankles
- feet
In addition to the knees, ankles, and feet, where might inflammation also occur with Reiter’s syndrome?
- eyes
- urinary tract
Treatment for Reiter’s syndrome
- no cure
- can control symptoms
How long does it take for Reiter’s syndrome s/s to go away?
2-6 months
Reiter’s syndrome: eyes
conjunctivitis
inflammation of the eye, usually brief and mild
Reiter’s syndrome: urinary tract stuff
- UTI
- may include inflammation of prostate or cervix
- men may have pus drainage from penis
Reiter’s syndrome: UTIs
- pain or burning during urination
- frequent urges to urinate
What can happen to the penis with Reiter’s syndrome?
- pus-filled sores
- painless, shallow upcers
What other types of things can happen with Reiter’s syndrome (sores)
- sores on soles of feet and palms
- mouth sores
- small nodules on soles of feet and sometimes the palms of hands (or elsewhere)
Health hx risk factors for psoriatic arthritis
- psoriasis
- family hx
Health hx risk factors for Reiter’s syndrome
- more common in males
- VD
- dysenteric infection
- no family hx
- gene
Reiter’s syndrome: which males are more likely to get it?
- white males
- 20-50 y.o.
Reiter’s syndrome: gene?
HLA-B27 gene
Health hx risk factors for septic arthritis
- systemic corticosteroid use
- DM
- infection elsewhere in the body
- direct penetrating joint trauma (i.e. injections)