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eISSN: 2084-9893
ISSN: 0033-2526
Dermatology Review/Przegląd Dermatologiczny
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SCImago Journal & Country Rank
6/2018
vol. 105
 
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abstract:
Case report

Reactive arthritis – an interdisciplinary issue

Ewelina Biało-Wójcicka
,
Karolina Rutkowska
,
Kalina Wysocka-Dubielecka

Dermatol Rev/Przegl Dermatol 2018, 105, 726–737
Online publish date: 2019/01/04
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Reactive arthritis is an aseptic inflammation of synovium, tendons and fasciae triggered by an immunological reaction to a distant-site infection. It is usually asymmetric. It develops about 4 weeks after a prior infection of the genitourinary system (most often caused by Chlamydia trachomatis or Neisseria gonorrhoeae) or the gastrointestinal tract (most often: Shigella enteritidis, Salmonella typhimurium or Salmonella enteritidis, Campylobacter jejuni, Yersinia enterocolitica). A typical triad of symptoms includes: arthritis, conjunctivitis, and urethritis. Men aged 20-50 are most commonly affected. A considerable percentage of patients with reactive arthritis has the HLA-B27 antigen. Presence of the antigen heralds a more severe course of the disease and occurrence of articular complications. The disease may have a neoplastic course, sometimes it subsides without chronic consequences, and in some cases it evolves into other spondyloarthropathies.
keywords:

reactive arthritis, HLA-B27, keratodermia blenorhagicum, balanitis circinata, Reiter’s syndrome



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