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Artrite reativa

Last reviewed: 13 Jan 2026
Last updated: 04 Feb 2022

Summary

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
  • artrite periférica
  • artrite axial
Полная информация

Другие диагностические факторы

  • sintomas constitucionais
  • entesite
  • comprometimento da membrana mucosa
  • erupção cutânea
  • balanite circinada
  • manifestações oculares
  • manifestações cardíacas
Полная информация

Факторы риска

  • sexo masculino
  • genótipo HLA-B27
  • infecção gastrointestinal ou por clamídias anterior
  • imunoterapia com BCG
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • velocidade de hemossedimentação (VHS)
  • proteína C-reativa
  • FAN
  • fator reumatoide
  • coproculturas e culturas de material urogenital
  • radiografias simples
  • artrocentese com análise do líquido sinovial
Полная информация

Исследования, проведение которых нужно рассмотреть

  • HLA (antígeno leucocitário) B27
  • testes de amplificação de ácido nucleico
  • RNM
  • ultrassonografia
Полная информация

Алгоритм лечения

Острый

alívio sintomático

ПРОДОЛЖЕНИЕ

artrite reativa persistente ou crônica

Составители

Авторы

John D. Carter, MD

Professor of Medicine

Division of Rheumatology

Chief

University of South Florida College of Medicine

Tampa

FL

Раскрытие информации

JDC is on the speakers bureau for Abbvie and Amgen. JDC is a co-author of several references cited in this topic.

Выражение благодарностей

Dr John D. Carter would like to gratefully acknowledge Dr Jason P. Guthrie, a previous contributor to this topic. JPG declares that he has no competing interests.

Рецензенты

J.S.H. Gaston, MA, PhD, BM, BCh, FRCP, FMedSci

Professor of Rheumatology

University of Cambridge

Cambridge

UK

Раскрытие информации

JSHG declares that he has no competing interests.

Luis R. Espinoza, MD

Professor and Chief

Section of Rheumatology

Department of Internal Medicine

LSU Health Sciences Center

New Orleans

LA

Раскрытие информации

LRE is a co-author of several references cited in this topic. Unfortunately, we have since been made aware that Dr Luis R. Espinoza is deceased.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

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Основные статьи

Parker CT, Thomas D. Reiter's syndrome and reactive arthritis. J Am Osteopath Assoc. 2000;100:101-104. Аннотация

Dougados M, van der Linden S, Juhlin R, et al. The European Spondylarthropathy Study Group preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum. 1991;34:1218-1227. Аннотация

Toivanen A. Managing reactive arthritis. Rheumatology (Oxford). 2000;39:117-119. Аннотация

Carter JD, Espinoza LR, Inman RD, et al. Combination antibiotics as a treatment for chronic Chlamydia-induced reactive arthritis: a double-blind, placebo-controlled, prospective trial. Arthritis Rheum. 2010;62:1298-1307. Аннотация

Colmegna I, Espinoza LR. Recent advances in reactive arthritis. Curr Rheumatol Rep. 2005;7:201-207. Аннотация

Статьи, указанные как источники

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