Seronegative Arthropathies

Question 1

What are the 6 common features of seronegative arthropathies?

Answer 1

Spondyloarthropathy (spine disease) 
Asymmetric oligoarthritis 
Sacroiliitis 
Uveitis 
Dactylitis  
Enthesopathies (esp insertional tendonitis and plantar fasciitis)

Question 2

What x-ray findings may be seen in ankylosing spondylitis?

Answer 2

Sacroiliac joints erosions, sclerosis, and joint space widening

Syndesmophytes, eventually developing into bamboo spine.

Question 3

What is the initial management of ankylosing spondylitis?

Answer 3

NSAIDs and physio

Question 4

When are DMARDs indicated in ankylosing spondylitis?

Answer 4

When there is peripheral joint disease

Question 5

What is the initial management of psoriatic arthritis?

Answer 5

DMARDs

Question 6

What joints does enteropathic arthritis normally affect?

Answer 6

Oligoarthritis of large joints

Question 7

What can induce a reactive arthritis?

Answer 7

A GI infection (Salmonella, Campylobacter) or a GU infection (Chlamydia, Neisseria)

Question 8

What joints are affected by reactive arthritis?

Answer 8

Large joints

Question 9

What is the management of reactive arthritis?

Answer 9

Treat underlying infection
IM/IV steroids for symptoms
DMARDs only for chronic cases