Reactive Arthritis

Reactive Arthritis Is a Systemic Rheumatic Disease

Reactive Arthritis has three conditions: inflammation of the eyes, inflammation of the genital, urinary or gastrointestinal system, and joint inflammation. Reactive Arthritis is called “reactive” simply because the immune system is having a reaction to an infection. Reactive Arthritis can occur in anyone, but it occurs most often in patients who are in the third and fourth generation of life.  Since reactive arthritis affects different organs in the body, it is considered a systemic rheumatic disease.

The typical joints which are affected by reactive arthritis are the wrists, knees, ankles and feet. In most cases, the joints which are afflicted will be on the same side of the body. As typical with other forms of arthritis, the joints with reactive arthritis will have inflammation, swelling, stiffness, warmth and redness. If inflammation involves the fingers or toes, many liken the appearance to a “sausage.” Reactive arthritis can also inflame the spine which can lead to pain in the neck and back.

Conjunctivitis is often seen in patients with reactive arthritis. Urinary tract inflammation can also occur. If it does, the patient will experience burning upon urination, and pus drainage can even occur. Mouth ulcers can develop, but are usually painless. However, when an inflammation of the bowel occurs, it will be noticeable. Patients may have diarrhea, with pus or blood.

There is no single test your doctor will be able to perform to diagnose you with reactive arthritis. The diagnosis is usually made based upon the combination of inflammation in the eyes, gastrointestinal system, and genital or urinary system. X-rays can be performed on the afflicted joint sites, but damage may not show up until late in the disease.

Medications will be prescribed based upon the systems which are affected. Patients are usually given nonsteroidal anti-inflammatory drugs for their joints. Corticosteroids can also be given to reduce pain and inflammation.  Depending upon which other systems or organs of your body are afflicted, your doctor will prescribe the appropriate medication.  Topical medication will be prescribed for penis inflammation. Anti-inflammatory drops will be prescribed for inflamed eyes. Sometimes an injection of cortisone is required into the eye if inflammation is severe.

If you are battling various ailments in your body and they are accompanied by joint pain, you may have reactive arthritis. You should see your doctor to get your health back on track.