Prognosis
The majority of patients suffer from a transient monoarthritis with conjunctivitis and urethritis, which will resolve within a year of onset.
A third will have recurrent or chronic disease.
A third of these will be functionally limited.
Prognostic signs indicating a poor disease progression include:
- severe initial attack
- mucocutaneous involvement e.g. keratoderma blenorrhagica
- chronic heel pain
A third of all patients will develop ankylosing spondylitis. This group will be HLA B27 positive.
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