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Reactive arthritis: update 2018.
A García-Kutzbach1, J Chacón-Súchite2, H García-Ferrer2
1AGAR, FM - UFM. Asociación Guatemalteca Anti-enfermedades Reumáticas, Facultad de Medicina, Universidad Francisco Marroquín, Guatemala City, CA, Guatemala. abraham@garciakutzbach.org.
Reactive arthritis (ReA) is an infection-induced systemic illness within the spondyloarthritis spectrum. It presents as sterile synovitis in genetically susceptible individuals, often with extra-articular symptoms.
Area of Science:
- Rheumatology
- Immunology
- Infectious Diseases
Background:
- Reactive arthritis (ReA) is now classified within the spondyloarthritis spectrum.
- Previously known as Reiter's syndrome, ReA is an infection-induced systemic condition.
- Characterized by sterile synovitis in genetically predisposed individuals.
Purpose of the Study:
- To define reactive arthritis within the broader context of spondyloarthritis.
- To highlight the infectious etiology and systemic nature of ReA.
- To describe the key clinical features, including synovitis and extra-articular manifestations.
Main Methods:
- Literature review and synthesis of current understanding of reactive arthritis.
- Classification of ReA within the spondyloarthritis disease group.
- Identification of characteristic clinical presentations and triggers.
Main Results:
- Reactive arthritis is an infection-induced systemic illness.
- It occurs in genetically susceptible individuals.
- Characterized by sterile joint inflammation (synovitis) and extra-articular symptoms secondary to distant infections.
Conclusions:
- Reactive arthritis is a distinct entity within the spondyloarthritis spectrum.
- Understanding its infectious origins and genetic predisposition is key.
- Management should consider both articular and extra-articular manifestations.
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