Reactive arthritis

 

Reactive arthritis

 

Inflammatory condition of the joints

Can affect any joint but most commonly knees a d ankles are affected

Occurs 2–6wk after a bacterial infection

Causes

Gastroenteritis (Salmonella, Campylobacter)

Genitourinary infection (chlamydia, gonorrhoea)

Clinical features

Painful and swollen joints, usually in the ankles or knees

Conjunctivitis

Rash

Diarrhoea

Urethral discharge

Diagnosis

Clinical diagnosis

Further testing can be done depending on the likely cause of the symptoms such as

Chlamydia direct examination

Gonorrhoea PCR,

Stool MCS and PCR

Joint aspirate

Management

NSAIDs

Physiotherapy

Treat the underlying cause

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