Rheumatology International

, Volume 26, Issue 10, pp 879–885

Clinical presentations of chlamydial and non-chlamydial reactive arthritis

  • Ahmet Özgül
  • Ismail Dede
  • Mehmet Ali Taskaynatan
  • Hakan Aydogan
  • Tunç Alp Kalyon
Original Article

DOI: 10.1007/s00296-005-0094-z

Cite this article as:
Özgül, A., Dede, I., Taskaynatan, M.A. et al. Rheumatol Int (2006) 26: 879. doi:10.1007/s00296-005-0094-z

Abstract

The aim of this study was to investigate the triggering micro-organisms and the clinical as well as laboratory differences between Chlamydial and non-chlamydial reactive arthritis (ReA) in a prospective study on 98 patients with acute/subacute arthritis. An inciting organism was found in 42 patients. Eighteen of these were chlamydial. Fifty-seven percent of all ReA patients were carriers for HLA-B27, which increased to 67% in the chlamydial group. Chlamydial ReA patients had more urethritis (P<0.05) with a longer period between arthritis and inciting infection, significantly lower CRP levels, and involved joint counts (P<0.05). Additionally, sacroiliitis was more frequent besides extra-articular manifestations in chlamydial ReA group. This study shows that chlamydial ReA differs in some points from non-chlamydial ReA, which in turn may affect the evaluation of an arthritic patient. ReA due to chlamydia more frequently encompasses a monoarticular or oligoarticular clinical picture with predominant distal extremity involvement. Non-chlamydial ReA presents higher joint counts and may involve upper extremity joints.

Keywords

Reactive arthritisChlamydial reactive arthritisOligoarthritisNon-chlamydial reactive arthritis

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Ahmet Özgül
    • 1
  • Ismail Dede
    • 2
  • Mehmet Ali Taskaynatan
    • 1
  • Hakan Aydogan
    • 3
  • Tunç Alp Kalyon
    • 1
  1. 1.Department of Physical Medicine and RehabilitationGulhane Military Medical AcademyEtlik-AnkaraTurkey
  2. 2.Etimesgut Air Force Military HospitalEtimesgut-AnkaraTurkey
  3. 3.Department of Microbiology and Clinical MicrobiologyGulhane Military Medical AcademyEtlik-AnkaraTurkey