Question

My age 46 years female suffering with arthritis diagnosis as sjogren syndrome taking hcq and month tablets since 3 years continuously at change immunology center bangalore.

Dr.Julie Mercy J David · Accepted Answer

Reactive arthritis
•reactive arthritis can affect the heels, toes, fingers, low back, and joints, especially of the knees or ankles.
•though it often goes away on its own, reactive arthritis can be prolonged and severe enough to require seeing a specialist. Effective treatment is available for reactive arthritis.
•reactive arthritis tends to occur most often in men between ages 20 and 50.
•most cases of reactive arthritis appear as a short episode. Occasionally, it becomes chronic.
•reactive arthritis is a painful form of inflammatory arthritis (joint disease due to inflammation). It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (chlamydia trachomatis) or the bowel (campylobacter, salmonella, shigella and yersinia). Chlamydia most often transmits by sex. It often has no symptoms, but can cause a pus-like or watery discharge from the genitals. The bowel bacteria can cause diarrhea. If you develop arthritis within one month of diarrhea or a genital infection – especially with a discharge – see a health care provider. You may have reactive arthritis.
•in the past, it went by the name “reiter’s syndrome.” now it belongs to the family of arthritis called “spondyloarthritis.”
the type of treatment for reactive arthritis depends on the stage of reactive arthritis.
The early stage of reactive arthritis is considered acute (early). Acute inflammation can be treated with nonsteroidal anti-inflammatory drugs (often referred to as nsaids). These drugs suppress swelling and pain. They include naproxen (aleve), diclofenac (voltaren), indomethacin (indocin) or celecoxib (celebrex). The exact effective dose varies from patient to patient. The risk of side effects of these drugs, such as gastrointestinal (often called gi) bleeding, also varies. Your doctor will consider your risk of gi bleeding in suggesting an nsaid.
The late stage of reactive arthritis is considered chronic. Chronic reactive arthritis may require treatment with a disease-modifying antirheumatic drug (sometimes called a dmard) such as sulfasalazine or methotrexate. Sulfasalazine may be more useful when the reactive arthritis is triggered by a gastrointestinal (gi) infection. In some cases, very inflamed joints may benefit from corticosteroid injections (cortisone shots). In more severe cases, stronger immune lowering medications called “biologics” may be used such as etanercept (enbrel) or adalimumab (humira).

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