Morning Report

April 11, 2011

Enteropathic Arthritis

 Inflammatory bowel disease

 Celiac disease

 Whipple’s disease

 Behcet’s disease

 Parasitic infections

 Pseudomenbranous colitis

 Reactive Arthritis
Reactive Arthritis

 Arthritis that occurs during or after an

infection at another body site, without
evidence of microorganisms entering the
joint
 Incidence of 2-33%
 No universally accepted diagnostic or
classification criteria for ReA
 Reiter’s Syndrome: arthritis,
conjunctivitis and urethritis
Reactive Arthritis

 Shares clinical characteristics with

other spondyloarthropathies
 Predominantly lower-limb arthritis,
enthesitis, dactylitis or inflammatory
back pain
 Association with HLA-B27
Reactive Arthritis

 Reactive to:
 Campylobacter
 Salmonella
 Shigella
 Yersinia
 Chlamydia
References

 Townes, JM. Reactive Arthritis after Enteric Infections in

the United States: The Problem of Definition. Clin Infect
Dis. 2010;50:247-54.
 Orlando et al. Gastrointestinal lesions associated with
spondyloarthropathies. World J Gastroenterol. 2009; 15:
2443–2448.