Reactive Arthritis

Question 1

What is reactive arthritis?

Difference between reactive and septic arthritis?

Answer 1

A synovitis in the joint as a reaction to a recent infective trigger

Reactive arthritis = no infection in joint
Septic arthritis = infection in the joint

Reactive arthritis is an inflammatory condition that develops in response to an infection in another part of the body.

Question 2

When does reactive arthritis typically occur?

Answer 2

Usually within 4 weeks of infection

The timing of the onset can vary based on the type of infection.

Question 3

What are common causes of reactive arthritis?

Answer 3

Gastroenteritis, chlamydia

These infections can trigger the immune response leading to arthritis.

Question 4

What is an important differential diagnosis for reactive arthritis?

Answer 4

Septic Arthritis

It is crucial to differentiate between reactive arthritis and septic arthritis due to the need for different management approaches.

Question 5

What are the features of reactive arthritis?

Answer 5

Monoarthritis of a joint
Conjunctivitis
Urethritis

Classic triad of reactive arthritis. ‘Can’t see, pee or climb a tree’.

Question 6

What is the management for reactive arthritis?

Answer 6

NSAIDs, Steroids

These medications help to reduce inflammation and manage symptoms.

Question 7

What is the prognosis for reactive arthritis?

Answer 7

Better by 6 months

Most patients see improvement in symptoms within this timeframe.

Question 8

Whats the most common causative organism of septic arthritis in young people?

Answer 8

Neisseria gonorrhae