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논문 기본 정보

자료유형
학술저널
저자정보
Dana Bekaryssova (Department of Biology and Biochemistry South Kazakhstan Medical Academy Shymkent Kazakhstan) Mrudula Joshi (Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals Pune India) Latika Gupta (Department of Clinical Immunology and Rheumatology Sanjay Gandhi Postgraduate Institute of Medical) Marlen Yessirkepov (Department of Biology and Biochemistry South Kazakhstan Medical Academy Shymkent Kazakhstan) Prakash Gupta (Virgen Milagrosa University Foundation College of Medicine San Carlos City Pangasinan Philippines) Olena Zimba (Department of Internal Medicine #2 Danylo Halytsky Lviv National Medical University Lviv Ukraine) Armen Yuri Gasparyan (Departments of Rheumatology and Research and Development Dudley Group NHS Foundation Trust (Teachin) Sakir Ahmed (Department of Clinical Immunology and Rheumatology Kalinga Institute of Medical Sciences (KIMS) KII) George D. Kitas (Departments of Rheumatology and Research and Development Dudley Group NHS Foundation Trust (Teachin) Vikas Agarwal (Department of Clinical Immunology and Rheumatology Sanjay Gandhi Postgraduate Institute of Medical)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.37 No.50
발행연도
2022.12
수록면
1 - 11 (11page)
DOI
10.3346/jkms.2022.37.e355

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Background: Reactive arthritis (ReA) is an often neglected disease that received some attention during the coronavirus disease 2019 (COVID-19) pandemic. There is some evidence that infection with severe acute respiratory syndrome coronavirus 2 can lead to “reactive” arthritis. However, this does not follow the classical definition of ReA that limits the organisms leading to this condition. Also, there is no recommendation by any international society on the management of ReA during the current pandemic. Thus, a survey was conducted to gather information about how modern clinicians across the world approach ReA. Methods: An e-survey was carried out based on convenient sampling via social media platforms. Twenty questions were validated on the pathogenesis, clinical presentation, and management of ReA. These also included information on post-COVID-19 arthritis. Duplicate entries were prevented and standard guidelines were followed for reporting internet-based surveys. Results: There were 193 respondents from 24 countries. Around one-fifth knew the classical definition of ReA. Nearly half considered the triad of conjunctivitis, urethritis and asymmetric oligoarthritis a “must” for diagnosis of ReA. Other common manifestations reported include enthesitis, dermatitis, dactylitis, uveitis, and oral or genital ulcers. Threefourths opined that no test was specific for ReA. Drugs for ReA were non-steroidal antiinflammatory drugs, intra-articular injections, and conventional disease-modifying agents with less than 10% supporting biological use. Conclusion: The survey brought out the gap in existing concepts of ReA. The current definition needs to be updated. There is an unmet need for consensus recommendations for the management of ReA, including the use of biologicals.
#Reactive Arthritis #Post-Infectious Arthritis #COVID-19 #Definition #Treatment #Surveys and Questionnaires

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