Extraarticular manifestations associated with Reactive Arthritis
Constitutional | Genitourinary |
---|---|
Low-grade fever | Infectious urethritis |
Weight loss (rare) | Sterile urethritis |
Prostatitis | |
Ocular | Hemorrhagic cystitis |
Sterile conjunctivitis (35%) | Salpingitis, vulvovaginitis |
Anterior uveitis (20%) (acute unilateral, HLA-B27-positive) | Mucocutaneous Circinate balanitis (30%, most frequently associated with Chlamydia ) |
Keratoderma blennorrhagicum (15%) | |
Gastrointestinal | Hyperkeratotic nails (10%) |
Infectious ileitis/colitis | Painless oral ulcers (25%) |
Sterile ileitis/colitis (60%) | Erythema nodosum ( Yersinia ) |
Renal | |
Cardiac (rare in acute disease) | IgA nephropathy |
Heart block (1%) | Renal amyloidosis |
Aortic regurgitation | Other |
Aortitis (1%) | Thrombophlebitis, livedo reticularis |
Pericarditis (rare) | Neuropathy (cranial or peripheral nerve) |
Note: The frequency of the various extraarticular manifestations depends on both the inciting infectious agent and if the patient is HLA-B27-positive.