Reactive arthritis Flashcards
1
Q
How is reactive arthritis defined?
A
Arthritis following infection where the organism can’t be recovered from joint
2
Q
What are the 2 forms of reactive arthritis?
A
- Post STI (more common in men)
- Post dysenteric
3
Q
What is the commonest infection associated with the post STI form?
A
- Chlamydia trachomatis
4
Q
Name an infection associated with the post dysenteric form?
A
- Shigella flexneri
- Salmonella enteritidis
- Salmonella typhimurium
- Campylobacter
- Yersinia enterocolitica
5
Q
Name an option for the symptomatic management
A
- NSAIDs
- analgesia
- Intra-articular steroids
6
Q
How can persistent disease be managed?
A
Sulfasalazine/methotrexate
7
Q
Name 4 features of reactive arthritis
A
- Asymmetrical oligoarthritis of lower limbs
- Symptoms of urethritis
- Conjunctivitis or anterior uveitis
- Dactylitis
- Skin features i.e. keratoderma blennorrhagica and circinate balanitis
8
Q
Features occur typically how long after infection?
A
4 weeks
9
Q
How long do symptoms typically last for?
A
4-6 months
