Table 3.
Diagnostic criteria for reactive arthritis
Major criteria | (1) Arthritis with 2 of 3 of the following findings |
- Asymmetric | |
- Monoarthritis or oligoarthritis | |
- Lower limb involvement | |
(2) Preceding symptomatic infection with 1 or 2 of the following findings: | |
- Enteritis (defined as diarrhoea for at least 1 day, and 3 days to 6 weeks before the onset of arthritis) | |
- Urethritis (dysuria or discharge for at least 1 day, 3 days to 6 weeks before the onset of arthritis) | |
Minor criteria | At least one of the following: |
(1) Evidence of triggering infection: | |
- Positive urine ligase reaction or urethral/cervical swab for Chlamydia trachomatis | |
- Positive stool culture for enteric pathogens associated with reactive arthritis | |
(2) Evidence of persistent synovial infection (positive immunohistology or PCR for Chlamydia) |