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Reactive arthritis is a noninfectious inflammation of one or several joints.
It may be self-limited, relapsing or chronic.
The condition sometimes follows an infection of the gastrointestinal or genitourinary system.
There may be other non-joint features such as eye, genital tract, bowel or skin inflammation.
ReA may follow an infection of the genital tract or bowel, but this is not always identified.
It is more common in men and Caucasians. ReA is rare after the age of 50.
The disease is associated with the HLA B27 gene in 50 -80% of patients.
The cause of ReA is unknown.
It is associated with the HLA B27 gene, but it is unclear why. It is also unclear why ReA is sometimes associated with infection. (Bacterial infections of the genital tract with Chlamydia or gastrointestinal tract with Shigella, Salmonella, or Campylobacter).
ReA may follow several weeks after a genital tract or bowel infection. The patient may have acute swelling, pain and redness in one or more joints.
Typically, it is more common in the lower extremity joints.
During the joint symptoms, one may also have noninfectious genital tract, skin or eye inflammation.
ReA patients may have tendonitis, especially of the heel. There may be spine involvement (like ankylosing spondylitis).
Traditionally, ReA is self-limited to 3 to 12 months, but up to 50% may have a relapsing or chronic disease. The disease is not life-threatening, and most people are able to work and function normally.
The diagnosis is typically made by a doctor taking a thorough history and physical examination.
A swollen joint may be aspirated to rule out an infection or gout. There is no specific test for the diagnosis of ReA. The HLA B27 gene may be checked by blood test in selected cases, but it is not diagnostic.
At this time, there is no curative treatment. Any existing infection, if discovered, should be treated. The role of routine antibiotics is controversial.
Physical therapy, stretching and exercise are prescribed.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are given for pain and stiffness.
Steroid injections to involved tendons or joints can help relieve pain and inflammation.
In chronic or relapsing cases, similar treatments to rheumatoid arthritis can be considered to include methotrexate, sulfasalazine and the biologic antiTNFa drugs.
RAJESH KUMAR AGGARWAL5 October 2023Dr. Himanshu Aggarwal is very humble and experience doctor in his field.
Vinay Gupta4 October 2023Really an eminent doctor..His diagnosis helped me a lot, ..May God bless him...
Ritik Singh.22 September 2023Dr. Himanshu Aggarwal (Rhemutologist)is good in nature. he gives enough time to patient to satisfaction, and clear all the quarries of the patient.
Vishesh Singla22 September 2023I visited Dr himanshu aggarwal for my relative's arthritis nd within few weeks she start getting relief.. Thanks to him
Yogendra Singh13 September 2023डॉक्टर हिमांशु अग्रवाल जी मैक्स अस्पताल में जो हड्डी ज्वाइंट का इलाज करते हैं मेरा भी इलाज किया और मैं अपने को शत प्रतिशत ठीक महसूस करता हूं डाक्टर साहब जी को कोटि कोटि प्रणाम करता हूं
Jai Rawat29 August 2023Excellent Doctor, Great humanitarian Dr Himanshu Aggarwal listens very patiently & gives sufficient time to say his problem.He studies the patient and disease meticulously.He is very cheerful and gentle in his behavior.I think he is best rheumatologist in Dehi,Ghaziabad NCR.
Hikmat Bahadur Aidei13 August 2023He is god for us.
Ran Singh Chauhan10 August 2023First of Thankyou very very much Dr for given to valuable tratement to my disease ankylosing spondylitis.. I suffering from last five years ankylosing spondylitis and I started tratement to dr last six months before. After tratement my body pain or stiffness are ok and I sleep on bed easily.... .
Yashas Bhatt27 July 2023Dr Himanshu is very humble, Knowledgable and understanding doctor. I have went to him for my mothers treatment. At first when my mother went for her check up we thought it's gonna take a lot of time for my mother to get better as she was unable to walk and was on wheel chair, but when she got consultation from him and he made us understand what's the cause of it and started my mothers treatment and within a few days my mother started getting better and now she is able to walk also. Excellent doctor for Arthritis related diseases.
Saurabh Agrawal21 July 2023I met Dr Aggarwal with my mother in law on 12th Aug 2022 on Friday. Her age is 78 years and 4 months and she is suffering from Rheumatoid Arthritis, Ankylosing Spondylitis , Asthma and Diabeties. But we went to Dr Aggarwal for the treatment of RA and AS. Personality and Characteristics: Dr is very young, smart, dynamic, humble, polite and very down to earth. Listening : His listen, every single problem shared by me and my Mother in law. She gave ample amount of time and understand the history. Diagnosed: He had seen all the past 5 years reports, Prescriptions which we were carrying at least for 10-15 mins . He did not ask us to do all the tests again those my last Dr conducted just 15 days back. He considered all tests and reports. Treatment: He had given some injections initially with oral tabs and ask to come weekly then by monthly after wards once it is required. Initial first or second week the pain and swelling of my mother in law had declined like anything. My in law started moving with the help of stick before that she was not able to move from the bed. This is the first line of faith developed in my and in law mind . You dnt believe it now almost 1 year completed and my mother in law is walking without stick easily. Her medications are limited and orally only. I again insist you to meet the Dr Aggarwal if you are or near one or dear one suffering from joint pain. Thank you Dr Aggarwal!
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