Reactive arthritis
Evidence: Immune-mediated
Names
Reiter’s syndrome
ReA
Fiessinger-Leroy disease
Description
Reactive arthritis is an autoimmune condition classified in the family of spondyloarthritis. It is a type of arthritis that is typically acute and is most frequently caused by infections from bacteria in the genitals or bowel. Reactive arthritis symptoms usually last for between 3 and 12 months. However, in some individuals, subsequent flares may occur due to stress or infection. The condition may also become chronic in some individuals. Reactive arthritis may go unnoticed and heal on its own or it can cause pain in the joints. The knees and ankles are affected most often.
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Prevalence
US Cases: 250,000 - 340,000 [Hanova 2010]
Typical Age of onset
Typically men 20-30 years of age. Source: Hall (2018)
Symptoms
Joint swelling and pain, especially in knees, ankles, and feet
Tendon pain, especially at the base of the Achilles
Low back pain
Redness and irritation of eyes
Blurred vision and sensitivity to light
Rash on the feet or hands
Burning with urination
Increased frequency of urination
Discharge with urination
Urinary tract inflammation
Genital ulcers
Diarrhea
Red, waxy bumps on the palms or foot soles forming a rash
Fever
Fatigue
Weight loss