Reactive Arthritis Flashcards

1
Q

What is reactive arthritis?

A

Arthritis associated with coexisting/recent antecedent extra-articular infection

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2
Q

What are some common causative organisms of reactive arthritis?

A

Chlamydia

Salmonella, Shigella, Campylobacter, Yersinia, Clostridium

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3
Q

What investigations are done for reactive arthritis?

A

Bloods: raised CRP/ESR, HLA-B27

Urine NAAT, vaginal swab, stool MCS

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4
Q

What is the classic triad of reactive arthritis?

A

Arthritis
Conjunctivitis
Urethritis

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5
Q

What are the other presentations of reactive arthritis?

A

Asymmetrical oligoarthritis / monoarthritis
Anterior uveitis
Keratoderma blenorrhagica
Circinate balanitis
Enthesitis - plantar fasciitis, achilles tendonitis
Back pain

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6
Q

What is the prognosis of reactive arthritis?

A

Often remission within 6-12 months of onset of arthritis

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7
Q

What is the management of reactive arthritis?

A

NSAIDs, intra-articular steroids
Low dose steroids
Rarely require DMARD (SZS), biologics

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