Podcast #188: Monoarthritis

Author: Peter Bakes M.D.

Educational Pearls:

• Some common causes of monoarticular arthritis include: crystal arthropathies (gout and pseudogout), infection (septic joint), reactive arthritis and acute presentations of chronic arthritides.
• Lyme disease usually presents with a targetoid lesion associated with constitutional symptoms.
• The common triad of symptoms associated with reactive arthritis (aka Reiter's Syndrome) consists of conjunctivitis, urethritis, and arthritis.
• Reactive arthritis commonly presents with a history of a GU infection (often chlamydia) or GI infection (Shigella, Campylobacter, Yersinia, Salmonella). It is more common in men and those between 20 and 40 years old.
• Treatment for reactive arthritis is usually supportive.

References: www.emedicine.medscape.com/article/331347-overview