Rheumatology 4 - Reactive Arthritis Flashcards
1
Q
define reactive arthritis
A
an acute monoarthritis, usually in lower limb
recent infective trigger
2
Q
what are the two main triggers of reactive arthritis
A
gastroenteritis
STIs - chlamydia
3
Q
genetic link with seronegative spondyloarthropathies
A
HLA B 27
ank spond
psoriatic arthritis
reactive arthritis
4
Q
3 presenting features of reactive arthritis
A
bilateral conjunctivitis
anterior uveitis
circinate balanitis
(arthritis, gonorrhoea Hx)
5
Q
investigating reactive arthritis
A
will have to treat as hot joint
abx + aspirate / MC+S, crystals
6
Q
treating reactive arthritis
A
NSAIDs
steroid injection
systemic steroids
7
Q
prognosis of reactive arthritis
A
resolves within 6 months
if recurrent, then need DMARDs + TNF meds
