Reactive arthritis laboratory findings
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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.
- Additional 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