Top Reactive Arthritis Specialist in Bhubaneswar

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Reactive Arthritis

What is Reactive Arthritis?

Reactive arthritis is an sudden onset (acute) painful swelling of the joints take place
It occurs usually after an infection episode such as diarrhea, Urinary tract infection (UTI)
Mostly it affects large joints of the body i.e. knee, hip and ankle joints
Some time it can progress to develop chronic (long term) arthritis with episodic flare up intermittently
Reactive arthritis can also affect attachment of muscle to bone (Achilis tendenitis,enthesithis).
Reactive arthritis seen in 30-40 yrs age group.
75% of reactive arthritis have a gene HLAB27 positivity

What are the causes of Reactive Arthritis?

Reactive arthritis (ReA) mostly takes place after an infection such as UTI (Urinary Tract Infection) or Dysentery (Bowel infection).
Infection can trigger the immune system to attack the healthy cells such as joints.
Reactive arthritis occurs after 1-4 wks. of infection.
Around 75% of Reactive arthritis patients have HLA B27 positivity.
Sometimes genetics play a role in the disease

Who are affected by Reactive Arthritis?

Reactive Arthritis is very rare and individuals with the age between 30- 40 are mostly affected.
Men are more prone to the disease in comparison to women.
People with HLA-B27 are most likely to be affected by Reactive Arthritis.
Those have HLA B27 positive can develop persistent arthritis.

What are the symptoms of Reactive Arthritis?

The arthritis has the following signs and symptoms-

Individuals with reactive arthritis experience inflammation leading to stiffness and back pain.
The pain can start quickly and become intense in no time.
The disease affects feet, ankles, hips and knees.(Mostly joints of the leg)

Patients will experience still, swollen and painful joints.
The arthritis affects one side of the body (asymmetric)
Whole digit can be swollened which is known as dactylitis
People will generally feel tired and feverish.

Patients might experience eye infection (Conjunctivitis).

Skin rash and sores on the mouth can also be noticed.

Diagnosis of Reactive Arthritis (ReA)

No single test can diagnose reactive arthritis
Proper history and detail examination helpful for diagnose reactive arthritis
Some time it might get confused with septic arthritis
Always tell your doctor if you have recent history of UTI or dysentery.
Consult a Rheumatologist who is expertise in inflammatory arthritis

What are the tests required to diagnose Reactive Arthritis?

Blood tests are normally done to check the inflammation and identify the HLA-B27 gene, but a blood test is not enough to diagnose a particular disease.

The following tests help in diagnosis:

Complete Blood Count
C-Reactive Protein (CRP)
Erythrocyte Sedimentation Rate (ESR)
Urine Re/Me, Urine culture

HLA B27

Effect of Reactive Arthritis on Pregnancy

Reactive arthritis will not hamper the ability to become pregnant.
Medications should be avoided during the effort made to become pregnant or breastfeeding.

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