Carter John D, Hudson Alan P
Department of Internal Medicine, Division of Rheumatology, University of South Florida, 12901 Bruce B. Downs Boulevard, MDC 81, Tampa, FL 33612, USA.
Rheum Dis Clin North Am. 2009 Feb;35(1):21-44. doi: 10.1016/j.rdc.2009.03.010.
Reactive arthritis (ReA) is an inflammatory arthritis that arises after certain gastrointestinal or genitourinary infections, representing a classic interplay between host and environment. It belongs to the group of arthritidies known as the spondyloarthropathies. The classic syndrome is a triad of symptoms, including the urethra, conjunctiva, and synovium; however, the majority of patients do not present with this triad. Diagnostic criteria for ReA exist, but data suggest new criteria are needed. Epidemiologic and prospective studies have been difficult to perform because of over-reliance on the complete classic triad of symptoms and the different terms and eponyms used. Studies assessing various treatment strategies are ongoing.
反应性关节炎（ReA）是一种在某些胃肠道或泌尿生殖系统感染后出现的炎性关节炎，体现了宿主与环境之间典型的相互作用。它属于被称为脊柱关节炎的关节炎类别。典型综合征是一组三联征症状，包括尿道、结膜和滑膜；然而，大多数患者并不表现出这种三联征。存在反应性关节炎的诊断标准，但数据表明需要新的标准。由于过度依赖完整的典型三联征症状以及使用的不同术语和名称，进行流行病学和前瞻性研究一直很困难。评估各种治疗策略的研究正在进行中。
