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. 2020 Nov 16;9(1):304–308. doi: 10.1002/ccr3.3521

Table 1.

Diagnostic criteria for reactive arthritis

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

A “definite” diagnosis of ReA is based on the completion of both major criteria and a relevant minor criterion, while both major criteria characterize a “probable” diagnosis but no relevant minor criterion or one major criterion and one or more of the minor criteria