Table 1.
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