Management of Probable Reactive Arthritis in Adult Male in Limited Resource Setting

Abstract

Reactive arthritis (ReA), previously known as Reiter syndrome, belongs to a group of related arthropathies classified as spondyloarthritis. The classical triad of ReA consisted of arthritis, urethritis, and conjunctivitis. However, the triad is not typically present in all patients. The diagnosis criteria of ReA in Indonesia are based on the 1999 American College of Rheumatology guidelines. The disease is relatively rare and can be easily overlooked if clinical suspicion is not high on presentation. However, it is an easily manageable disease. We present a case of ReA in adult male who manifested arthritis and urethritis with a history of previous gastrointestinal infection. Advanced laboratory examination could not be conducted. After receiving treatment, the patient’s condition had improved considerably.

Keywords

• gastrointestinal infection
• limited resource
• reactive arthritis
• urethritis