Reactive arthritis Flashcards
1
Q
definition
A
synovitis as a reaction to recent infective trigger
2
Q
presentation
A
acute monoarthritis
most often the knee - warm, swollen and painful joint
3
Q
differential diagnoses
A
septic arthritis
4
Q
common triggering infections
A
gastroenteritis
STI - chlamydia
gonorrhoea
5
Q
gene relation
A
HLA B27
seronegative spondyloarthropathy
6
Q
3 associations
A
bilateral conjunctivitis
anterior uveitis
circinate balanitis
7
Q
investigation
A
asirate joint - gram stain, culture, sensitivity and crystal examination
8
Q
management
A
initial antibiotics NSAIDs cryotherapy/physiotherapy steroid injections or oral steroids DMARDs/anti-TNF
9
Q
who is usually affected and triad
A
men
arthritis, conjunctivitis, urethritis
10
Q
prognosis
A
resolves spontaneously within a year
high rate of recurrence
