Reactive Arthritis Flashcards

1
Q

What is reactive arthritis?

A

Aseptic arthritis- synovitis

Develops after systemic infection

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2
Q

What causes reactive arthritis?

A

GI

  • Salmonella typhimurium
  • Ersinia enterocolitica
  • Shigella flexneri

GU
- Chlamydia trachomatis

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3
Q

What is the onset of reactive arthritis?

A

1-3 weeks after infection

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4
Q

What is the epidemiology of reactive arthritis?

A

2-7% general population after infection

20% if HLA-B27 positive

M:F 10:1

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5
Q

What is reiter’s syndrome?

A

Urethritis/cervicitis
Arthritis
Conjunctivitis

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6
Q

What are the s/s of reactive arthritis?

A
  • Reiter’s Syndrome
  • Malaise
  • Fatigue
  • Fever
  • Enthesitis- Achille’s tendon
  • Dactylitis- “sausage fingers”
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7
Q

What is observed in PE of reactive arthritis?

A
MSK
Skin
Eyes
GU tract
GI tract
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8
Q

What is observed with MSK in PE of reactive arthritis?

A

Dactylitis

Asymmetric arthritis

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9
Q

What is observed with skin in PE of reactive arthritis?

A

Mucocutaneous lesions

Oral lesions

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10
Q

What is observed with eyes in PE of reactive arthritis?

A

Conjunctivitis

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11
Q

What is observed with GU tract in PE of reactive arthritis?

A

Cervicitis

Urethritis

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12
Q

What is observed with GI tract in PE of reactive arthritis?

A

Diarrhea

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13
Q

What imaging is used in reactive arthritis?

A

Plain films

MRI

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14
Q

What is in the DDX of reactive arthritis?

A

Gonococcal arthritis
RA
Psoriatic arthritis

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15
Q

What labs are used in reactive arthritis?

A
CBC w/ diff
ESR
CRP
HLA-B27
Synovial fluid analysis
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16
Q

What is the course of reactive arthritis?

A

Initial onset 2-3 months with synovitis lasting up to a year

17
Q

What are the treament options for reactive arthritis?

A

No cure
Conservative treatment
Medical treatment

18
Q

Why is only reason medication is used in treatment of reactive arthritis?

A

Systemic infections

Extra articular manifestations