Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a classic triad of asymmetric oligoarthritis, urethritis, and conjunctivitis, following a recent episode of [GI/GU infection]. Symptoms began [number] weeks ago, characterized by joint pain, stiffness, and swelling, primarily affecting the lower extremities. Patient denies recent trauma, fever, or systemic symptoms.
Clinical Examination Findings
Physical examination reveals asymmetric oligoarthritis involving [specific joints]. Evidence of dactylitis ("sausage digit") noted in [digit]. Ocular exam demonstrates bilateral conjunctivitis. Genital exam reveals [urethritis/circinate balanitis]. Skin exam shows [keratoderma blennorrhagicum/psoriasiform lesions] on palms and soles. No signs of septic arthritis or systemic instability.
Treatment Protocol
Initiate NSAIDs for symptomatic relief of joint inflammation. If symptoms persist, consider intra-articular corticosteroid injections. Treat underlying triggering infection with appropriate antibiotics if still present. For refractory cases, initiate DMARDs (e.g., Sulfasalazine or Methotrexate). Monitor inflammatory markers (ESR/CRP) and joint function.