ABSTRACT

Typically 1-4 weeks following infection, acute inflammatory arthritis will occur. The arthritis is commonly either mono-or oligo-articular (oligo=affecting <5 joints), affects the larger joints (e.g. knee, ankle and wrist) and is asymmetrical. However, fingers and toes can be affected with a dactylitis (inflammation of a digit), where the whole finger or toe becomes swollen and inflamed (sausage finger/toe) rather than

System Manifestation Constitutional Weight loss

the individual joints of the digit. As well as arthritis, patients may have symptoms of an enthesitis (inflammation where ligaments and tendons attach to bones). Typical sites for enthesitis include the Achilles tendon insertion, plantar fascia and elbow epicondyles. Extra-articular symptoms can occur and are listed in Table 1.