Reactive Arthritis - PubMed (original) (raw)

Review

. 2017 Jun;31(2):265-277.

doi: 10.1016/j.idc.2017.01.002. Epub 2017 Mar 11.

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Review

Reactive Arthritis

Steven K Schmitt. Infect Dis Clin North Am. 2017 Jun.

Abstract

Reactive arthritis is classified as a spondyloarthropathy. Current concepts of disease suggest an infectious trigger, followed by inflammatory arthritis. Several mechanisms have been proposed to explain the interaction of host susceptibility and microorganism. Diagnosis relies on a compatible clinical syndrome and microbiologic confirmation of the pathogen. Antibiotic therapy seems useful in Chlamydia-triggered arthritis. The role of antibiotics in arthritis triggered by enteric pathogens is less clear. The role of tumor necrosis factor alpha inhibitors in therapy is evolving. Many patients have a course limited to a few months, but others experience extraarticular disease and more prolonged courses.

Keywords: Campylobacter; Chlamydia; Inflammatory arthritis; Reactive arthritis; Salmonella; Shigella; Spondyloarthropathy; Yersinia.

Copyright © 2017 Elsevier Inc. All rights reserved.

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