Symptoms of reactive arthritis

Medicine2

Scientists defined primary and secondary symptoms, which appear during reactive arthritis.

SYMPTOMS IN CHILDREN

Children usually have cartilage edema, this symptom may already occur at the first stage of the disease and general state of a child allows parents to concentrate and visit a doctor. Slow progression might show any clinical symptoms, but motion limitation would be evident.

COMMON SYMPTOMS

First symptoms occur in 3-4 weeks after it was caused, with infectious manner in most cases. Usually such condition is the result of genital chlamydia infection, diarrhea, and also reactive arthritis develops after cold or breathing system diseases (laryngitis, pneumonia, bronchitis).

In case of genital chlamydia infection manner reactive arthritis occurs with inflammation of genitourinary system. Patients notice frequent and painful urination and drawing pain in lower abdomen.

Typical to all symptoms:

  • high temperature;
  • fatigue;
  • weight loss is possible;
  • swollen lymph nodes in groin area.

DISEASE EFFECTS

A great amount of symptoms followed by muscle and joint pain, which affects lumbar area and from there moves to buttock and hip.

Large joints affection

Leg joints are the most commonly affected, reactive arthritis cause inflammation of knee, ankle and joint area around the big toe (pic).

Usually symptoms followed by inflammation of femur and sacrum (which called sacroilitis).

Hip joint is also affected which cause reactive hip arthritis. Reactive arthritis affects joints of hand rarely, it may be wrist and knuckle joints.

Tendon

Except joint inflammation, disease may affect tendon, which located close to the diseased joints. Inflammation occurs in joint space, the whole toe becomes affected afterwards, this condition called dactylitis.

Other organs

In addition to joints reactive arthritis affects some other organs, including eyes, the example is shown at the picture. It causes Iridocyclitis and conjunctivitis (mucous eye membrane inflammation).

In case of correct therapy, conjunctivitis symptoms can be removed quickly and forever. But in case of inflammation of iris doctor’s consultation is just necessary, otherwise sharpness of vision reduced and blindness occurs.

SECONDARY SYMPTOMS

For secondary symptoms, that caused by reactive arthritis, blennosis and skin disease is typical. Small ulcers and cutaneous condition occur at different organs. Most often they appear at oral mucosa, glans penis, vagina and its vulvar vestibule.

The disease is not the most dangerous, but microorganisms which may cause new infection with sepsis inflammation.

Symptoms after examination          

Signs of the disease after examination are deciduous skin, and it progresses more intensively than usually. This condition is not clear yet, since skin become more indurated and covered with spots and abscesses.

During patient’s examination attention is also attracted to nails which except yellowness and fragility become deciduous and peeling.Possible clinical signs of Reiter's syndrome

COMPLICATION

Reactive arthritis frequently affects heart, because it caused by infection. The inflammation of the heart muscle (myocarditis) and the biggest vessel of human body – aorta (aortitis) are typical for this stage of the disease.

Consequences of such disease may be very dramatic – cardiac muscle conductivity disorder and cardiac arrhythmia, heart failure progression, which is the result of inflamed walls of aorta and heart valves.

Reactive arthritis may have a special form: when also affected urogenital system in addition to inflammation of joints and mucosa (urethritis). Experts define this clinic symptom of reactive arthritis as Reiter’s syndrome.

 

Related:
1. Valgus foot deformity in children
2. Juvenile chronic arthritis
3. Treatment of rheumatoid arthritis with folk medicine
4. Reactive arthritis in children
5. Septic arthritis