Reactive arthritis diagnosis

Reactive arthritis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief:

Diagnosis

• Reactive arthritis is diagnosed based on the clinical presentation with supporting laboratory evidence.
• The gold standard for diagnosis of reactive arthritis include spondyloarthritis and clear evidence of preceding infection by culture (or polymerase chain reaction [PCR]).
• The diagnosis of reactive arthritis is made in the presence of any one of the following conditions:
  • Symptoms such as asymmetric oligoarthritis (especially lower extremities), enthesitis, extra-articular signs in the presence of established preceding infection with Chlamydia, Salmonella, Yersinia, Shigella, or Campylobacter
  • Symptoms such as asymmetric oligoarthritis (especially lower extremities), enthesitis, extra-articular signs in the presence of diarrhea or cervicitis within the last 6 weeks period.
  • Any acute inflammatory arthritis in the presence of established preceding infection with Chlamydia, Salmonella, Yersinia, Shigella, or Campylobacter.