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. 2022 Mar 5;41(6):1641–1652. doi: 10.1007/s10067-022-06120-3

Table 2.

Differences between classical and post-COVID-19 reactive arthritis

“Classical” reactive arthritis Post-COVID-19 reactive arthritis
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