Other arthritis Flashcards
1
Q
What is reactive arthritis
A
Joint inflammation triggered by an extra-articular bacterial infection
Organisms reach joints by infected monocytes –> antigens in joint space –> arthritis
2
Q
Causes of reactive arthritis
A
Chlamydia Salmonella Yersinia Shigella Campylobacter Clostridium
3
Q
Diagnosis of reactive arthritis
A
Joint aspiration
Chlamydia on first pass urine
Stool cultures
4
Q
Natural history of reactive arthritis
A
70% resolve in 6-12/12
25% have chronic relapsing course
5% destructive arthritis
5
Q
Management of reactive arthritis
A
Rest NSAIDs Local CCSs MTX Sulfasalazine Treat sexual partners Antibiotics for post-chlamydial reactive arthritis
6
Q
Disseminated gonococcal infections
A
Neisseria Gonorrhoea
2 different syndromes:
- Polyarthralgia, dermatitis, tenosynovitis
- Septic arthritis
F>M 3:1
Recent menstruation
10% are deficient in terminal complement components
Treat with IV ceftriaxone
7
Q
Enteropathic arthritis
A
20% of IBD patients
Non deforming and self-limiting
Peripheral or axial
Treat IBD = treat arthritis
