Differences in clinical features of Reactive Arthritis and gonococcal arthritis

Differences in clinical features of Reactive Arthritis and gonococcal arthritis

A comparison of the clinical features of ReA with gonococcal arthritis is elaborated in the below table

A Comparison of the Clinical Features of Reactive Arthritis with Gonococcal Arthritis

FeatureReactiveGonococcal
Sex ratioMale > femaleFemale > male
Age20–40 yearsAll ages, most 20–40 years
Migratory arthralgiasNoYes
ArthritisLower limbsUpper limbs, knees
EnthesitisYesNo
SpondylitisYesNo
TenosynovitisYesYes
DactylitisYesNo
UrethritisYesYes
UveitisYesNo
Oral ulcersYesNo
Cutaneous lesionsKeratoderma, balanitisPustules
Culture-positiveNoYes (<50%)
HLA-B27-positiveYes (80%)Same as general population
Cephalosporin responsiveNoYes
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