burn fat fast RA causes inflammation in the lining (synovium) of joints, most often the joints of the hands and feet. The signs of inflammation can include pain, swelling, redness ...
Reactive arthritis is an uncommon disease that causes inflammation of the joints and, in many cases, other areas, particularly the urinary tract and eyes. It is triggered by an infection, usually by a sexually transmitted organism or by certain gastrointestinal bacteria.
The most common infection causing reactive arthritis is the sexually transmitted disease (STD) chlamydia. Reactive arthritis can also be caused by gastrointestinal infection from bacteria such as salmonella, shigella, campylobacter or Yersinia, infections that can cause diarrhea and vomiting. These bacteria often are found in contaminated food or water. While these infections are common, reactive arthritis is not. Scientists believe that people who develop reactive arthritis have a certain genetic makeup. Supporting the theory that genetic makeup is a risk factor, about 50% of people with reactive arthritis carry a gene called HLA-B27, compared with 8% of the general population.
Reactive arthritis is thought to be an autoimmune disorder, which means the body''s important to balance rest and exercise. Biking and swimming, for example, can help to reduce stiffness and keep the joint moving. Your doctor may refer you to a physical therapist, occupational therapist or podiatrist. Splints, shoe inserts or braces can provide relief in ways that medications cannot.
For the other manifestations of disease, treatment options include:
Corticosteroid cream or ointment for rash; supervision by a dermatologist is important, especially if the rash involves the penis or face
Corticosteroid drops, injections or pills for uveitis
NSAIDs or other pain relievers for urinary tract inflammation (urethritis)
The care of people with reactive arthritis should be coordinated by their primary care physician with regular monitoring by appropriate specialists, which may include a dermatologist, ophthalmologist, rheumatologist or urologist.
Call your doctor if you have symptoms of reactive arthritis such as joint pain, swelling, limited motion, red or painful eyes, or painful urination. If you notice pain or burning with urination, or a discharge from the penis or vagina, call your doctor right away. Let your doctor know if you have diarrhea that is persistent, bloody or associated with pain.
With therapy, the outlook for reactive arthritis is good, although the condition is quite variable. Severe cases may be associated with significant joint damage, vision problems and other disabling manifestations, whereas other cases are much milder and only intermittently bothersome. Risk factors for more severe disease include one or more of the following:
Venereal infection (rather than intestinal infection)
Sacroiliac or hip joint involvement
Swelling of a finger or toe
Blood tests showing evidence of marked body-wide inflammation
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Poor response to initial therapy