2014 European Guideline on the management of sexually acquired reactive arthritis

Carlin, E M; Ziza, J. M.; Keat, Andrew; Janier, M.

doi:10.1177/0956462414540617

Cited by 27 publications

(27 citation statements)

References 106 publications

(342 reference statements)

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“…Courcoul et al have reported in a retrospective study that a total of 7% of patients with ReA have circinate balanite [ 37 ]. Another study estimates that approximately 80% of men with SARA have urethral discharge and/or dysuria [ 38 ]. Ocular symptoms: Conjunctivitis is more seen in patients with acute ReA and arises rarely in chronic disease [ 39 ].…”

Section: What Are the Clinical Manifestations Of Rea?mentioning

confidence: 99%

Reactive Arthritis: Update

Bentaleb

Abdelghani

Rostom

et al. 2020

Curr Clin Micro Rpt

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Purpose of Review The aim of this paper is to provide an overview about reactive arthritis, with an update regarding pathophysiology and therapeutic approach of the disease, outlining the clinical features and diagnostic approach, based on recent literature review. Recent Findings Reactive arthritis is considered to be part of the spectrum of the spondyloarthritis. Its epidemiology is changing worldwide due to several reasons, among them are as follows: different diagnosis approach and clinical presentations, different grades of infection, microbiome changes, etc. The understanding of pathophysiological models is challenging, but recent studies contribute to elucidate the major factors involved in the development of the disease. The management of ReA depends on the triggering agent and the phase of disease, whether it is acute or chronic. Summary The association between the microbiome changes and spondyloarthropathies (ReA) is becoming increasingly evident. The results regarding the biologic treatment on refectory ReA are promising.

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Section: What Are the Clinical Manifestations Of Rea?mentioning

confidence: 99%

Reactive Arthritis: Update

Bentaleb

Abdelghani

Rostom

et al. 2020

Curr Clin Micro Rpt

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“…It is reported that ReA can be triggered by infection with bacteria, viruses and parasites [4, 5] with the most frequent microbial triggers infecting the gastrointestinal or genitourinary tracts [1]. Chlamydia trachomatis is proposed to be the most common cause of ReA [4, 6–9], with other sexually transmitted infections (STIs) including Neisseria gonorrhoeae (distinct from its role in septic gonococcal arthritis), and Ureaplasma urealyticum also implicated [10]. ReA triggered by an STI is referred to as sexually acquired reactive arthritis (SARA) [10].…”

Section: Introductionmentioning

confidence: 99%

“…Chlamydia trachomatis is proposed to be the most common cause of ReA [4, 6–9], with other sexually transmitted infections (STIs) including Neisseria gonorrhoeae (distinct from its role in septic gonococcal arthritis), and Ureaplasma urealyticum also implicated [10]. ReA triggered by an STI is referred to as sexually acquired reactive arthritis (SARA) [10].…”

Section: Introductionmentioning

confidence: 99%

The incidence of sexually acquired reactive arthritis: a systematic literature review

et al. 2016

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Objective-Reactive Arthritis (ReA) is an inflammatory spondyloarthritis occurring after infection at a distant site. Chlamydia trachomatis is proposed to be the most common cause ofReA, yet the incidence of sexually-acquired ReA (SARA) has not been well established. We therefore carried out a systematic literature review to collate and critically evaluate the published evidence regarding the incidence of SARA.Methods-MEDLINE and EMBASE databases were searched using free-text and MeSH terms relating to infection and ReA. The title and abstract of articles returned were screened independently by two reviewers and potentially relevant articles assessed in full. Data was extracted from relevant articles and a risk of bias assessment carried out using a validated tool. Heterogeneity of study methodology and results precluded meta-analysis.Results-The search yielded a total of 11680 articles, and a further 17 were identified from review articles. After screening, 55 papers were assessed in full, from which 3 met the relevant inclusion criteria for the review. The studies reported an incidence of SARA of 3.0% -8.1% and were found to be of low to moderate quality.Conclusions-More studies are required to address the lack of data regarding the incidence of SARA. Specific and sensitive classification criteria must be developed in order for consistent classification and valid conclusions to be drawn. In clinical practice, it is recommended clinicians discuss the possibility of ReA developing at the time of STI diagnosis, and to encourage patients to return if they experience any relevant symptoms.

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“…ReA triggered by a sexually transmitted infection (STI) is referred to as SARA [ 2 ]. A recent systematic review reported the incidence of SARA after STI as 3.0–8.1% but there is concern that SARA may be underdiagnosed [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…The sexual history needs to be taken sensitively when assessing a man with Shigella infection who has not travelled to an endemic area. It is important for health professionals in non-genitourinary settings to be aware that MSM are likely to be at risk of other STIs and HIV co-infection and therefore a referral should be made to sexual health services for full screening and partner notification as well as advice on sexual abstinence and avoiding potentially infectious triggers in the future [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

A case of reactive arthritis secondary to sexually acquired Shigella flexneri

Kennedy

Murira

Wenham

2017

Oxford Medical Case Reports

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We present the first documented case of reactive arthritis (ReA) secondary to sexually acquired Shigella flexneri infection. The case occurred in the context of a recent change in Shigella epidemiology in England where non-travel associated cases are now contributing the majority of diagnoses. Such non-travel associated cases are occurring predominantly in men who have sex with men with high sexual risk taking behaviour reflecting the importance of the sexual history when assessing a man with Shigella infection who has not travelled. We suggest Shigella can be thought of as a cause of sexually acquired ReA and not just a form of enteric ReA. Referral to sexual health services for further management is essential.

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2014 European Guideline on the management of sexually acquired reactive arthritis

Cited by 27 publications

References 106 publications

Reactive Arthritis: Update

Reactive Arthritis: Update

The incidence of sexually acquired reactive arthritis: a systematic literature review

A case of reactive arthritis secondary to sexually acquired Shigella flexneri

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