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Reaktive Arthritiden sind entzündliche Gelenkerkrankungen, die infolge einer primär extraartikulären Infektion auftreten. Trotz überwiegender Manifestation am Bewegungssystem in Form einer peripheren Arthritis, Spondyloarthritis oder Enthesiopathie handelt es sich um systemische Erkrankungen. Auslösende Erreger sind Bakterien; die primäre Infektion kann symptomatisch oder häufiger sogar asymptomatisch verlaufen. Typische Orte der primären Infektion sind der Urogenitaltrakt, Gastrointestinaltrakt oder Respirationstrakt. Die Krankheitserreger sind im Unterschied zur septischen Arthritis aus Synovialflüssigkeit oder-membran nicht anzüchtbar.

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Literatur

  • Bas S, Genevay S, Schenkel MC, Vischer TL (2002) Importance of species-specific antigens in the serodiagnosis of Chlamydia trachomatis reactice arthritis. Rheumatology 41: 1017–1020

    Article  PubMed  CAS  Google Scholar 

  • Bernhard J, Lehmann T, Villiger PM (2001) Chlamydia pneumoniae: an cause of reactve arthritis? Schweiz Rundsch Med Prax 90: 2060–2063

    CAS  Google Scholar 

  • Blasco Patino F, Perez Maestu R, Lopez de Letona JM (2004) Mechanisms of disease in Mycoplasma pneumoniae infection. Clinical manifestations and complications. Rev Clin Esp 204: 365–368

    Article  PubMed  CAS  Google Scholar 

  • Braun J, Laitko S, Treharne J, Eggens U, Wu P, Distler A, Sieper J (1994) Chlamydia pneumoniae — a new causative, agent of reactive arthritis and undifferentiad oligoarthritis. Ann Rheum Dis 53: 100–105

    Article  PubMed  CAS  Google Scholar 

  • Braun J, Bollow M, Remlinger G et al. (1997) Prevalence of spondy-loarthropathies in HLA-B27-positive and negative blood donors. Arthritis Rheum 41(1):58–67

    Article  Google Scholar 

  • Calin A (1998) Reactive arthritis and Reiter’s syndrome — the clinical spectrum. In: Callin A, Taurog JD (eds) Spondylarthritides. Oxford Univ Press, Oxford, pp 41–57

    Google Scholar 

  • Cascina A, Marone Bianco A, Mangiarotti P, Montecucco CM, Meloni F (2002) Cutaneous vasculitis and reactive arthritis following respiratory infection due to Chlamydia pneumoniae: report of a case. Clin Exp Rheumatol 20: 845–847

    PubMed  CAS  Google Scholar 

  • Dougados M, van der Linden S, Leirisalo-Repo M et al. (1995) Sulfasalazine in the treatment of spondylarthropathy. Arthritis Rheum 38:618–627

    Article  PubMed  CAS  Google Scholar 

  • Gaston JS, Lillicrap MS (2003) Arthritis associated with enteric infection. Best Pract Res Clin Rheumatol 17:219–39

    Article  Google Scholar 

  • Gerard HC, Wang GF, Balin BJ, Schumacher HR, Hudson AP (1999) Frequency of apolipoprotein E (APOE) allele types in patients with Chlamydia-associated arthritis and other arthritides. Microb Pathog 26: 35–43

    Article  PubMed  CAS  Google Scholar 

  • Gerard HC, Wang Z, Whittum-Hudson JA, El-Gabalawy H, Goldbach-Mansky R, Bardin T, Schumacher HR, Hudson AP (2002) Cytokine and chemokine mRNA produced in synovial tissue chronically infected with Chlamydia trachomatis and C. pneumoniae. J Rheumatol 29: 1827–1835

    PubMed  CAS  Google Scholar 

  • Geyik MF, Gur A, Nas K, Cevik R, Sarac J, Dikici B, Ayaz C (2002) Musculoskeletal involvement of brucellosis in different age groups: a study of 195 cases. Swiss Med Week 132: 98–105

    Google Scholar 

  • Gross K, Krüger K, Schattenkirchner M (1995) Arthritis after hepatitis B vaccination. Scand J Rheumatol 24: 50–52

    Article  PubMed  CAS  Google Scholar 

  • Haibel H, Rudwaleit M, Siepeer J, Zeidler H, Kuipers JG (2004) Diagnostik der reaktiven Arthrtis. Z Rheumatol 63: 211–215

    PubMed  CAS  Google Scholar 

  • Hannu T, Puolakkainen M, Leirisalo-Repo M (1999) Chlamydia pneumoniae as a triggering infection in reactive arthritis. Rheumatology 38: 411–414

    Article  PubMed  CAS  Google Scholar 

  • Harjacek M, Ostojic J, Djakovic Rode O (2006) Juvenile spondyloarthropathies associated with Mycoplasma pneumoniae infection. Clin Rheumatol 4: 1–6

    Google Scholar 

  • Jacobs A, Barnard K, Fishel R, Gradon JD (2001) Extracolonic manifestations of Clostridium difficile infections. Presentation of 2 cases and review of the literature. Medicine 80:88–101

    Article  PubMed  CAS  Google Scholar 

  • Kuipers JG, Zeidler H (1997) Das Konzept der reaktiven Arthritiden. Entstehung, aktueller Stand und Perspektiven. Akt Rheumatol 22: 151–161

    Google Scholar 

  • Kvien TK, GlennÅas A, Melby K (1994) Reactive arthritisincidence, triggering agents, and clinical presentation. J Rheumatol 21: 115–122

    PubMed  CAS  Google Scholar 

  • Leirisalo-Repo M (1998) Enteric infections and arthritis: clinical aspects. In: Calin A, Taurog JD (eds) Spondylarthritides. Oxford Univ Press, Oxford, pp 59–67

    Google Scholar 

  • Nolte, FS (1994) Practical considerations in the laboratory diagnosis of bacterial enteric infections. Am J Clin Pathol 101 (Suppl 1): S14–S17

    PubMed  CAS  Google Scholar 

  • Ray P, Black S, Shinefield H et al. (1997) Risk of chronic arthropathy among women after rubella vaccination. JAMA 278: 551–556

    Article  PubMed  CAS  Google Scholar 

  • Saaibi DL, Arayssi T, Growin KM et al. (1996) Clinical spectrum of arthritis associated with Chlamydia pneumonia in synovium. Arthritis Rheum 39 (Suppl) 189

    Google Scholar 

  • Samuel MP, Zwillich SH, Thomson GTD et al. (1995) Fast food arthritis — a clinicopathologic study of post-salmonella reactive arthritis. J Rheumatol 22: 1947–1952

    PubMed  CAS  Google Scholar 

  • Schattner A (2005) Consequence or coincidence? The occurrence, pathogenesis and significance of autoimmune manifestations after viral vaccines. Vaccine 23: 3876–3886

    Article  PubMed  CAS  Google Scholar 

  • Schumacher HR Jr, Gerard HC, Arayssi TK, Pando JA, Branigan PJ, Saaibi DL Hudson AP (1999) Lower prevalence of Chlamydia pneumoniae DNA compared with Chlamydia trachomatis DNA in synovial tissue of arthritis patients. Arthritis Rheum 42: 1889–1893

    Article  PubMed  Google Scholar 

  • Soderlin MK, Kautiainen H, Puolakkainen M, Hedman K, Soderlund-Venemo M, Skogh T, Leirisalo Repo M (2003) Infections preceding early arthritis in southern Sweden: a prospective populationbased study. J Rheumatol 30: 459–464

    PubMed  Google Scholar 

  • Tingle AJ, Mitchell LA, Grace M et al. (1997) Randomised double-blind placebo controlled study on adverse effects of rubella immunisation in seronegeative women. Lancet 349: 1277–1281

    Article  PubMed  CAS  Google Scholar 

  • Weibel RE, Benor DE (1996) Chronic arthropathy and musculoskeletal symptoms associated with rubella vaccines. A review of 124 claims submitted to the National Vaccine Injury Compensation Program. Arthritis Rheum 39: 1529–1534

    Article  PubMed  CAS  Google Scholar 

  • Wollenhaupt J, Sieper J (1997) Erreger-und infektorientierte Differential diagnostik der reaktiven Arthritiden. Akt Rheumatol 22: 191–197

    Article  Google Scholar 

  • Wollenhaupt J, Zeidler H (1997) Klinik, Diagnostik und Therapie der chlamydieninduzierten Arthritis. Akt Rheumatol 22: 176–182

    Google Scholar 

  • Zeidler H, Köhler L (2004) Chlamydia-induced arthritis. Curr Opin Rheumatol 16: 380–392

    Article  PubMed  Google Scholar 

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Schnarr, S., Jendro, M.C., Wollenhaupt, J., Zeidler, H. (2008). Reaktive Arthritiden (M 02). In: Zeidler, H., Zacher, J., Hiepe, F. (eds) Interdisziplinäre klinische Rheumatologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-34105-5_33

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  • DOI: https://doi.org/10.1007/978-3-540-34105-5_33

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