TY - CHAP M1 - Book, Section TI - Reactive Arthritis A1 - Arvikar, Sheila L. A2 - Stone, John H. PY - 2021 T2 - Current Diagnosis & Treatment: Rheumatology, 4e AB - Inflammatory arthritis, developing within days to weeks of gastrointestinal or genitourinary infection, considered to be a form of spondyloarthritis.Pattern of arthritis is an asymmetric mono- or oligoarthritis tending to affect the lower extremities, associated with enthesitis and dactylitis.May have extra-articular findings, including ocular inflammation and skin manifestations, particularly keratoderma blennorrhagicum and circinate balanitis.Many patients have resolution by 6 months, but can result in a chronic arthritis.First-line treatment is nonsteroidal anti-inflammatory drugs (NSAIDs), followed by glucocorticoids and nonbiologic disease-modifying antirheumatic drugs (DMARDs).Antibiotic therapy is not of clear benefit once infection has resolved, but antibiotics may have a role in Chlamydia-induced arthritis. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1180196213 ER -