Sternoclavicular, Ankle, Knee swelling after bronchitis found to have Reactive Arthritis
Dr. Kathy Nickerson | Morning Report | 06/15/2016
4:1 Female predominance
Polyarthritis and usually involving small joints
Posted 06/15/16 09:35:05 AM by Adam Faye
Symptoms typically include migratory arthralgias that are asymmetric and preferentially affect upper extremities.
Tenosynovitis can occur
Patients also can have a rash; typically painless, small papular/pustular or vesicular lesions
Septic Arthritis Form
Monoarticular joint (usually large joint) with pain, redness, and swelling
Posted 06/15/16 09:41:51 AM by Adam Faye
Ankylosing Spondylitis- Typically affects the sacroiliac joint. usually insidious onset before 40 years of age, symptoms worse in the morning or with inactivity and improve with exercise. Can have IBD associated
Psoriatic Arthritis- Sometimes present with psoriasis before arthritis.
Reactive Arthritis- Can be triggered by Chlamidya trachomatis, Salmonella, Shigella.
Treating with antibiotics will not necessarily improve joint symptoms. Can manage those with NSAIDs
IBD-associated arthritis - Can be seen with UC/Crohn's
Posted 06/15/16 10:34:26 AM by Adam Faye
Must always rule out infectious arthritis as you can have both
Classic triad of urethritis, conjunctivitis and arthritis (Reiter's Syndrome) but rarely see all three