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Chronic Reactive Arthritis
B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Chronic reactive arthritis (CRA)
          • Synonyms

            • Reactive arthritis, sexually acquired reactive arthritis, HIV-related arthritis, Reiter disease
              • Term "Reiter" no longer in use due to recent discovery of his criminal mistreatment of prisoners
          • Definitions

            • Arthritis seen as part of triad of arthritis, urethritis (cervicitis), and conjunctivitis
              • < 33% manifest full triad at presentation

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Keithlin J et al: Systematic review and meta-analysis of the proportion of non-typhoidal Salmonella cases that develop chronic sequelae. Epidemiol Infect. 143(7):1333-51, 2015
                                          2. Keithlin J et al: Systematic review and meta-analysis of the proportion of Campylobacter cases that develop chronic sequelae. BMC Public Health. 14(1):1203, 2014
                                          3. Lew PP et al: Imaging of disorders affecting the bone and skin. Radiographics. 34(1):197-216, 2014
                                          4. Uotila TM et al: Outcome of reactive arthritis after an extensive Finnish waterborne gastroenteritis outbreak: a 1-year prospective follow-up study. Clin Rheumatol. 32(8):1139-45, 2013
                                          5. Hannu T: Reactive arthritis. Best Pract Res Clin Rheumatol. 25(3):347-57, 2011
                                          6. Davis JC Jr et al: Insights into the pathology and treatment of spondyloarthritis: from the bench to the clinic. Semin Arthritis Rheum. 38(2):83-100, 2008
                                          7. Doorduyn Y et al: Novel insight in the association between salmonellosis or campylobacteriosis and chronic illness, and the role of host genetics in susceptibility to these diseases. Epidemiol Infect. 136(9):1225-34, 2008
                                          8. Wu IB et al: Reiter's syndrome: the classic triad and more. J Am Acad Dermatol. 59(1):113-21, 2008
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Chronic reactive arthritis (CRA)
                                                  • Synonyms

                                                    • Reactive arthritis, sexually acquired reactive arthritis, HIV-related arthritis, Reiter disease
                                                      • Term "Reiter" no longer in use due to recent discovery of his criminal mistreatment of prisoners
                                                  • Definitions

                                                    • Arthritis seen as part of triad of arthritis, urethritis (cervicitis), and conjunctivitis
                                                      • < 33% manifest full triad at presentation

                                                  IMAGING

                                                  • General Features

                                                    • Imaging Recommendations

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Keithlin J et al: Systematic review and meta-analysis of the proportion of non-typhoidal Salmonella cases that develop chronic sequelae. Epidemiol Infect. 143(7):1333-51, 2015
                                                                                  2. Keithlin J et al: Systematic review and meta-analysis of the proportion of Campylobacter cases that develop chronic sequelae. BMC Public Health. 14(1):1203, 2014
                                                                                  3. Lew PP et al: Imaging of disorders affecting the bone and skin. Radiographics. 34(1):197-216, 2014
                                                                                  4. Uotila TM et al: Outcome of reactive arthritis after an extensive Finnish waterborne gastroenteritis outbreak: a 1-year prospective follow-up study. Clin Rheumatol. 32(8):1139-45, 2013
                                                                                  5. Hannu T: Reactive arthritis. Best Pract Res Clin Rheumatol. 25(3):347-57, 2011
                                                                                  6. Davis JC Jr et al: Insights into the pathology and treatment of spondyloarthritis: from the bench to the clinic. Semin Arthritis Rheum. 38(2):83-100, 2008
                                                                                  7. Doorduyn Y et al: Novel insight in the association between salmonellosis or campylobacteriosis and chronic illness, and the role of host genetics in susceptibility to these diseases. Epidemiol Infect. 136(9):1225-34, 2008
                                                                                  8. Wu IB et al: Reiter's syndrome: the classic triad and more. J Am Acad Dermatol. 59(1):113-21, 2008