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Year : 2020  |  Volume : 15  |  Issue : 4  |  Page : 304-309

Clinical profile of adults and children with reactive arthritis in India – A cohort study

Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Latika Gupta
Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow - 226 014, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/injr.injr_126_20

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Background: An evolving clinicodemographic spectrum is reported in reactive arthritis (reA) with the changing microbial profile in recent times. Moreover, understanding of chronic disease patterns is limited due to widespread beliefs of a self-limiting nature. We thus assessed the clinical profile of a cohort of acute reA and compare them with chronic reA. Methods: A hospital-based study of prevalent triggers and demographic features, articular and extra-articular manifestations, and radiological findings was undertaken in children and adults with reA at a tertiary care center in northern India. Results: Sixty-eight cases (8 juvenile, 41 acute, and 27 chronic) of age 26 years (18–34, M:F 5.8:1) and disease duration 36 (19–60) days were enrolled. Enteritis was the most common preceding trigger (37, 54%), followed by genitourinary infection (25, 36%), irrespective of gender. The clinical spectrum mirrored previous descriptions, with arthritis in most (95%), enthesitis in 33%, and conjunctivitis and circinate balanitis being the most common extra-articular features (8% each). Numerous cases (n = 7) did not fulfill the Braun's criteria at the current visit though a high representation of sacroiliitis was noted (20%, 12%) in acute as well as chronic reA. Enthesitis was more common in the acute reA (P = 0.018) and mucocutaneous features occurred only at inception. Otherwise, the clinical profile was similar in cases triggered by urethritis and enteritis, and in children as compared with adults. Conclusion: These observations of varied spectrum of reA assume larger importance in light of the emerging concept of a unified clinic-pathologic spectrum of spondyloarthritis.

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