Age |
15–40 years predominantly |
Above 45 years predominantly, but reported in all ages |
Gender |
Male preponderance |
Equal male–female distribution |
Precipitating factor |
Gut or urogenital infection |
Respiratory tract infection |
Inciting agent |
Bacteria |
Virus |
Phenotype |
Spondyloarthritis-like |
Multiple phenotypes |
-Axial involvement |
-Lower limb predominant oligoarthritis |
Joint predilection |
Large joints |
Small joints |
Chronicity |
1/3rd become chronic (lasts beyond 3 months) |
Most resolve within 2 weeks to 3 months |
Management |
Treated as other spondyloarthritis (limited evidence base) |
Usually, low dose steroids with or without NSAIDs is sufficient (limited evidence base) |
Extra-articular manifestations |
Dactylitis |
Unknown/limited |
Enthesitis |
Skin |
Uveitis |
Inflammatory bowel disease |