Reactive Arthritis Flashcards
1
Q
What are the different types of spondyloarthritides?
A
- Ankylosing spondylitis
- Enteric arthropathy
- Psoriatic arthritis
- Reactive arthritis
2
Q
Describe Reactive arthritis?
A
- Arthritis and other clinical manifestations occur as an AI response to an infection elsewhere in the body
- Typically GI or GU infections
3
Q
Clinical features of Reactive arthritis?
A
- Iritis
- Enthesitis
- Mouth ulcers
- Keratoderma blenorrhagica
- Brown, raised plaqures on soles and palms
- Circinate balanitis
- Painless penile ulceration secondary to Chlamydia
4
Q
What is the triad of things that people can present with in Reactive arthritis?
A
- Urethritis
- Arthritis
- Conjunctivitis (Reiter’s syndrome)
5
Q
What are the diagnostic tests for Reactive arthritis?
A
- Raised ESR and CRP
- Culture stool if diarrhoea
- Infectious serology
- Sexual health review
- X-ray
- Enthesitis with periosteal reaction
6
Q
Describe the management of reactive arthritis?
A
- No specific cure
- Splint affect joints acutely
- NSAIDs / local steroid injections
- Sulfasalazine or methotrexate if symptoms > 6 months
7
Q
What autoimmune component may play a role in Reactive arthritis and other sponyloarthritides?
A
HLA-B27
8
Q
What is pictured here?
A
Keratoderma blenorrhagica
9
Q
What is a good rhythm to remember about reactive arthritis?
A
Can’t see, pee or climb a tree
10
Q
A
