Immunologic derangement caused by intestinal dysbiosis and stress is the intrinsic basis of reactive arthritis.
Z Rheumatol
; 2024 Feb 25.
Article
em En
| MEDLINE
| ID: mdl-38403666
ABSTRACT
Reactive arthritis (ReA) is defined as arthritis resulting from infections in other body parts, such as the gastrointestinal and urogenital tracts. The primary clinical manifestations involve acute-onset and self-limiting asymmetric large joint inflammation in the lower limbs. Although bacterial or chlamydia infections have long been recognized as playing a pivotal role in its pathogenesis, recent studies suggest that antibiotic treatment may perpetuate rather than eradicate chlamydia within the host, indicating an involvement of other mechanisms in Reactive arthritis. Reactive arthritis is currently believed to be associated with infection, genetic marker (HLA-B27), and immunologic derangement. As an autoimmune disease, increasing attention has been given to understanding the role of the immune system in Reactive arthritis. This review focuses on elucidating how the immune system mediates reactive arthritis and explores the roles of intestinal dysbiosis-induced immune disorders and stress-related factors in autoimmune diseases, providing novel insights into understanding reactive arthritis.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
Z Rheumatol
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China