Postinfectious Reactive Arthropathy

Cure Arthritis Naturally

Beat Arthritis Naturally

Get Instant Access

Up to 40% of patients with ulcerative colitis and Crohn's disease develop enteropathic arthritis and spondyloarthropathy that may include sacroiliac involvement. The findings in X-rays and CT and MRI scans may be similar or identical to those of AS.

The term "postinfectious reactive arthritis" refers to a peripheral, nonseptic arthritis that develops within a month of an infection somewhere else in the body. All the cultures that are obtained from the affected joints are negative. The arthropathy is usually limited to a small number of joints, develops acutely, and is asymmetric. Up to a third of these patients may develop recurrent or chronic arthropathy, sacroiliitis, and spondyloarthropathy that may resemble AS or psoriasis. Unlike AS, skip areas—spinal segments that are not affected—are seen, whereas in AS, especially in advanced cases, the whole spine is fused. Some of these patients are HLA-B27-positive. Quite commonly, patients present with an overlapping clinical picture and are diagnosed as having undifferentiated spondyloarthropathy.


Ahlstrom H, Feltelius N, Nyman R, Hallgren R: Magnetic resonance imaging of sacroiliac joint inflammation. Arthritis Rheum 33: 1763-1769, 1990.

Braun J, Bollow M, Sieper J: Radiologic diagnosis and pathology of the spondyloarthropathies. Rheum Dis Clin N Am 24: 697-735, 1998.

Curtis JR, Lander PH, Moreland LW: Swallowing difficulties from "DISH-phagia." J Rheumatol 31: 2526-2527, 2004.

Fast A, Shailesh P, Marin E: Spine fractures in ankylosing spondylitis. Arch Phys Med Rehabil 67: 595-597, 1986.

Grigoryan M, Roemer FW, Mohr A, Genant HK: Imaging in spondyloarthropathies. Curr Rheumatol Rep 6: 102-109, 2004.

Indar R, Jacob J, Aldam CH, Hussein AA: Dysphagia: An unusual orthopaedic cause. Hosp Med 66: 54-55, 2005.

Kahn MA: Update on spondyloarthropathies. Ann Intern Med 136: 896-907, 2002.

Laiho K, Kauppi M: The cervical spine in patients with psoriatic arthritis. Ann Rheum Dis 61: 650-652, 2002.

Oostveen JCM, Van de Laar MAFJ: Magnetic resonance imaging in rheumatic disorders of the spine and sacroiliac joints. Semin Arthritis Rheum 30: 52-69, 2000.

Queiro R, Belzunegui J, Gonzalez C, De DJ, Sarasqueta C, Torre JC, Figueroa M: Clinically asymptomatic axial disease in psoriatic spondyloarthropathy: A retrospective study. Clin Rheumatol 21: 10-13, 2002.

Resnick D, Shapiro RF, Wiesner KB, Niwayama G, Utsinger PD, Shaul SR: Diffuse idiopathic skeletal hyperostosis of Forestier and Rotes-Querol. Semin Arth Rheum 7: 153-187, 1978.

Scarpa R: Discovertebral erosions and destruction in psoriatic arthritis. J Rheumatol 27: 975978, 2000.

Shaikh S: The spondyloarthropathies revisited. Semin Spine Surg 12: 74-86, 2000.

Sieper J, Rudwaleit M: How early should ankylosing spondylitis be treated with tumor necrosis factor blockers? Ann Rheum Dis 64: 61-64, 2005.

Sosner J, Fast A, Kahan B: Odontoid fracture and C1-2 subluxation in psoriatic cervical spondyloarthropathy Spine 21: 519-521, 1996.

van Tubergen A, Hidding A: Spa and exercise treatment in ankylosing spondylitis: Fact or fancy. Best Pract Res Clin Rheumatol 16: 653-666, 2002.

Update on spondyloarthropathies. Ann Intern Med 136: 897-905, 2002.

Wittram C, Whitehouse GH, Williams JW, Bucknall RC: A comparison of MR and CT in suspected sacroiliitis. J Comput Assist Tomogr 20: 68-72, 1996.

Yu W, Feng F, Dion E, Yang H, Jiang M, Genant HK: Comparison of radiography, computed tomography and magnetic resonance imaging in the detection of sacroiliitis accompanying ankylosing spondylitis. Skeletal Radiol 27: 311-320, 1998.

Was this article helpful?

0 0
Arthritis Relief Now

Arthritis Relief Now

When you hear the word arthritis, images of painful hands and joints comes into play. Few people fully understand arthritis and this guide is dedicated to anyone suffering with this chronic condition and wants relief now.

Get My Free Ebook

Post a comment