Reactive arthritis laboratory findings: Difference between revisions
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** Synovial fluid or synovial membrane biopsy for detection of bacterial DNA by PCR or immunofluorescence microscopy. | ** Synovial fluid or synovial membrane biopsy for detection of bacterial DNA by PCR or immunofluorescence microscopy. | ||
** IgA antibodies to specific bacterial antigens | ** IgA antibodies to specific bacterial antigens | ||
*Other test include tuberculin skin test | *Other test include tuberculin skin test and HIV. | ||
==References== | ==References== |
Revision as of 13:38, 6 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Laboratory Findings
Laboratory findings consistent with the diagnosis of reactive arthritis include:
- Elevated ESR
- Elevated C-reactive protein [CRP]
- Elevated TLC showing increased PMNs
- Synovial fluid analysis to determine cell count, culture, glucose, and presence of crystals.
- Diagnostic lab evaluations include testing for HLA-B27, PCR or ELISA for reactive arthritis associated microorganisms.
- Laboratory evaluations required to establish infection with reactive arthritis causing organisms include routine urine exam, culture of stool and urethra.
- Synovial fluid or synovial membrane biopsy for detection of bacterial DNA by PCR or immunofluorescence microscopy.
- IgA antibodies to specific bacterial antigens
- Other test include tuberculin skin test and HIV.