Flashcards in Spondyloarthropathies Deck (42)
What are the clinical features of reactive arthritis?
general- fever fatigue; malaise
asymmetrical monoarthritis or oligoarthritis
mild renal disease
Why does joint fliud analysis need to be done in reactive arthritis?
to rule out infection
What is the prognosis for reactive arthritis?
spontaneously resolve within 6 months
What are the treaments for reactive arthritis?
NSAIDs; CS; antibiotics for underling infection; PT; OT
What treatment is given for resistant/chronic reactive arthritis?
What is enteropathic arthritis associated with?
inflammatory bowel disease
where do pts with enteropathic arthritis present with symptoms?
several joints, esp knees, ankles, elbows and wrists and sometimes in spine (20% of Crohns pts have sacroilitis) hip or shoulders
What are the clinical symptoms associated with enteropathic arthritis?
GI-loose, watery stool with mucous and blood
weight loos, low grade fever; eve involvemnet, skin involvement (pyoderma gangrenosum)
What are the investigatsion done in enteropathic arthritis?
upper and lower GI endoscopy; joint aspirate- no organism or crystals; raised inflam markers
How does the IBD disease progression correlate with the arthrtisi?
arthritis worsens when IBD worsens
What is the treatmnet for enteropathic arthritis?
treat IBD controls the arthritis; normal analgesia eg paracetamol; steroids; DMARDs