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Flashcards in Spondyloarthropathies Deck (42)
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31

What are the clinical features of reactive arthritis?

general- fever fatigue; malaise
asymmetrical monoarthritis or oligoarthritis
enthesitis
mucocutanoues lesions
ocular lesions
mild renal disease
carditis

32

Why does joint fliud analysis need to be done in reactive arthritis?

to rule out infection

33

What is the prognosis for reactive arthritis?

spontaneously resolve within 6 months

34

What are the treaments for reactive arthritis?

NSAIDs; CS; antibiotics for underling infection; PT; OT

35

What treatment is given for resistant/chronic reactive arthritis?

DMARDs

36

What is enteropathic arthritis associated with?

inflammatory bowel disease

37

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

38

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)
enthesitis
oral-apthous ulcers

39

What are the investigatsion done in enteropathic arthritis?

upper and lower GI endoscopy; joint aspirate- no organism or crystals; raised inflam markers

40

How does the IBD disease progression correlate with the arthrtisi?

arthritis worsens when IBD worsens

41

What is the treatmnet for enteropathic arthritis?

treat IBD controls the arthritis; normal analgesia eg paracetamol; steroids; DMARDs

42

Why are NSAIDs not a good idea in enteropathic arthritis?

may exacerbate inflam bowel disease