无功 关节炎
Overview
反应性关节炎, formerly called Reiter's syndrome, typically occurs as a reaction to an infection in the body, usually the bowel or urogenital tract. Chlamydia trachomatis is the bacteria most commonly associated with reactive arthritis of the urogenital tract. Eating foods or substances contaminated by bacteria, 比如沙门氏菌, 志贺氏杆菌, campylobacter and yersinia, can cause intestinal reactive arthritis. In many patients, the infection is not obvious.
Our Approach to 无功 关节炎
UCSF provides comprehensive evaluations and advanced, personalized care for all forms of arthritis, including reactive arthritis. Depending on the individual case, a patient's treatment team may have several types of doctors, such as rheumatologists, dermatologists and urologists.
An underlying infection triggers reactive arthritis, so most patients are treated with 抗生素 as well as pain relief medications.
奖 & 识别
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Among the top hospitals in the nation
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Best in California and No. 7 in the nation for rheumatology
迹象 & 症状
General 症状 of reactive arthritis usually begin about one to three weeks after an infection. The initial 症状 include joint pain and swelling, 皮疹, 口腔溃疡, redness of the eyes, fever and weight loss. Symptoms may come and go, and may be so mild that patients do not notice them.
诊断
Your doctor will begin by recording your complete medical history, including a description of your 症状. You also will undergo a physical examination to check for any physical signs of the disease. Although the cause is not completely understood, a gene called HLA-B27 has been shown to increase a person's chance of developing the condition after a urogenital or intestinal infection. An estimated 75 percent of people with reactive arthritis have this gene.
治疗
Treatment for reactive arthritis typically includes medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen, 抗生素, topical skin medications and eye drops, as well as methods of protecting the joints. You also may be referred to another specialist, such as an urologist or dermatologist, to receive treatment for specific syndromes.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
