查看反应性关节炎的来源

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您请求的操作仅限于组中的用户:流行病学==反应性关节炎相对罕见,在基于人群的研究中,发病率据报道为每10万人0.6至27人。反应性关节炎在成年男性的第二和第三个十年更常见。约1-3%的非特异性尿道炎患者会发展为关节炎。总体而言,在社会经济地位较低的人群中,疾病活动性较高,功能能力较差。临床相关解剖学反应性关节炎并不局限于关节发炎,它也会导致身体其他系统出现症状。例如,在眼科,泌尿生殖系统,皮肤科,肌肉骨骼和胃肠道系统。王晓明,王晓明。反应性关节炎研究进展[https://www.ncbi.nlm.nih.gov/pubmed/15454127]。临床风湿病的最佳实践与研究。2004年10月1日;18(5):689-703。Kim PS, Klausmeier TL, Orr DP。[https://www.ncbi.nlm.nih.gov/pubmed/19306788反应性关节炎:综述]青少年心理健康[J]; 2009;44(4): 391 - 391。(A1) < / ref >, === Characteristics/Clinical Presentation === Symptoms can be found in different parts of the body.  Leirisalo-Repo M. Reactive arthritis. Scand J Rheumatol 2005;34:251–259. (A1) [[File:Knee image.jpg|right|frameless|200x200px]] Urethritis, conjunctivitis, and arthritis are the three symptoms classically associated with ReA * Urethritis discharge is intermittent and may be asymptomatic. * Conjunctivitis is usually minimal. * The arthritis is usually asymmetrical and polyarticular occurring in the large joints of the lower extremities, including the knees, ankles, and 1st metatarsophalangeal. In some cases, hand joints may be involved. Individuals can also present with fungal infections (uveitis, keratitis) of the cornea. Individuals can present with three musculoskeletal manifestations * acute inflammatory arthritis, * inflammatory back pain, and * enthesitis (inflammation of the tendon at its insertion onto bone). It is uncommon for all three musculoskeletal manifestations to present at one time. Enthesitis most commonly occurs at the insertion of the Achilles tendon onto the calcaneus causing heel pain. Enthesitis may also occur at the ischial tuberosity, iliac crest, tibial tuberosity, and ribs, with patient complaints of musculoskeletal pain at these sites. It is imperative that a complete and thorough history should be done on these patients during their initial evaluation to rule out presence of ReA ReA can have integumentary manifestations similar to [[psoriasis]], a condition that causes dry, erythematous skin lesions that can occur in small patches or cover large surfaces. It commonly involves the toes, nails, and soles of feet. The initial illness typically resolves in 3-4 months, however, 50% of patients experience reoccurrence of symptoms and components of the syndrome over a period of years. Joint deformity and ankylosis, as well as sacroiliitis and spondylitis, may occur with chronic or recurrent RS.

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