Reactive Arthritis; Post-infectious arthritis

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Reactive arthritis is a chronic form of arthritis featuring the following three conditions: 1) inflamed joints; 2) inflammation of the eyes (conjunctivitis); and 3) inflammation of the genital, urinary or gastrointestinal systems. Reactive arthritis is a group of inflammatory conditions that involves the joints, urethra, and eyes. There may also be sores (lesions) on the skin and mucus membranes. The exact cause of reactive arthritis is unknown. It occurs most commonly in men before the age of 40. It may follow an infection with Chlamydia, Campylobacter, Salmonella, or Yersinia. Certain genes may make you more prone to the syndrome. The disorder is rare in younger children, but may occur in adolescents. Urinary symptoms usually appear within days or weeks of an infection. Low-grade fever, inflammation of the conjunctiva of the eye (conjunctivitis), and arthritis develop over the next several weeks. The arthritis may be mild or severe, and may affect only one side of the body or more than one joint. Muscle and joint symptoms include: Achilles tendon pain; Heel pain; Joint pain in the large joints (hip pain, knee pain, and ankle pain are common); Low back pain; Eye and skin symptoms include: Eye discharge; Eye pain - burning; Eye redness; Skin lesions on the palms and soles that may resemble psoriasis; Small, painless ulcers in the mouth, tongue, and glans penis; Urinary and genital symptoms may include: Genital lesions (male); Incontinence; Penis pain; Skin redness or inflammation; Urethral discharge; Urinary hesitancy; Urinary urgency; Urination - burning or stinging

Symptoms:

Laboratory Test Procedures:

face swelling
fever
redness
pain
joint aches
joint swelling
joint stiffness
joint redness

C-Reactive Protein (CRP)
ESR - Sed Rate
WBC
HLA-B27; B27
GC/Chlamydia NAAT
Genital (Reproductive) Culture
Nuclear Ab ANA Screen
Rheumatoid Factor, titers
Rheumatoid Factor, units
CCP (Cyclic Citrullinated Peptide Antibody)
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