Reactive Arthiritis - Weeek 6 PBL

Question 1

Presentation of reactive arthritis?

Answer 1

Large swollen joint, warm and painful
Synovitis

Question 2

What associated symptoms are there of reactive arthritis? (Can’t see, pee, or climb a tree)

Answer 2

EYE: conjunctivitis, anterior uveitis
PEE: circinate balanitis, urethritis
CLIMB: keratoderma blenorrhagica, arthritis

Question 3

Investigation for reactive Arthritis?

Answer 3

Synovial joint aspiration for culture, gram staining and analysis

Crystal examination for gout and pseudogout

HLA B27 gene

Hisotry shows recent illness

Question 4

Common pathogens for reactive arthritis?

Answer 4

Chlamydia
Gastroenteritis causing bacteria; salmonella, campylobacter, shingles, E. coli

Question 5

Management for reactive Arthritis?

Answer 5

Ensure not septic
Then NSAIDS
Steroid injections if not working

If not resolved in 6 months, DMARDS and Anti- TNFs