Reactive Arthritis Flashcards
1
Q
Reactive Arthritis Definition
A
- Inflammatory back pain
- Additive or migratory oligoarthritis and extra-articular symptoms
2
Q
Reactive Arthritis Two Subgroups
A
- Post-enteric: campylobacter, salmonella and shigella (among others)
- Post-venereal: Chlamydia, HIV
3
Q
Reactive Arthritis Epidemiology
A
- Most commonly affects young, white people
- Poncet’s
4
Q
Reactive Arthritis Presentation
A
- 2-4 weeks after genitourinary or GI infection
- 10% do not have preceding symptomatic infection
- Asymmetrical, predominantly lower limb, oligoarthritis
- Low back pain is common
- Triad may occur
5
Q
Reactive Arthritis Differentials
A
- Ankylosing spondylitis
- Gonococcal arthritis
- Gout
6
Q
Reactive Arthritis Investigations
A
- Only serum antibodies are detected
- HLA-B26 often positive
- Joint aspiration may be required to rule out other causes
- Urogenital and stool cultures
7
Q
Reactive Arthritis Management
A
- NSAIDS
- Steroids second line
