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    The triad of inflammatory arthritis, urethritis, and conjunctivitis/uveitis with or without mucocutaneous lesions that characterize Reiter syndrome viagra uk boots may develop 3 to 4 weeks after an acute urethritis or diarrheal illness. 530 CHAPTER 64 RHEUMATOLOGIc MANIFESTATIONS OF GASTROINTESTINAL DISEASES Table 54-5.  Radiologic Comparison of Spinal Arthritis in Postenteritic Reactive Arthritis Versus Inflammatory Bowel Disease (IBD) REACTIVE ARTHRITIS Sacroiliitis Spondylitis Unilateral, asymmetric Asymmetric, nonmarginal, jug-handle syndesmophytes IBD Bilateral, sacroiliac involvement Bilateral, thin, marginal syndesmophytes A B Figure 64-7.  A, Radiograph showing unilateral sacroiliitis (arrows) in a patient with reactive arthritis. The frequency varies with the causative enteric organism. See Table 64-4 and Figure 64-7.

    • Shigella, 75% • Yersinia, 7% • Salmonella, 9% to 12% • Campylobacter, 10% 16. How do the radiographic features of inflammatory sacroiliitis and spondylitis due to postenteritic reactive arthritis differ from those in IBD patients?. 19% have chronic arthritis with radiographic changes of peripheral and/or sacroiliac joints 19. What extra-articular manifestations can occur in patients with postenteritic reactive arthritis?. • Sterile urethritis (16% to 70%) • Conjunctivitis • Acute anterior uveitis (iritis) • Oral ulcers (painless or painful) • Erythema nodosum (4% of Yersinia infections) • Circinate balanitis • Keratoderma blennorrhagicum 18. How commonly do patients with postenteritic reactive arthritis have the clinical features of Reiter syndrome?.

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