prognosis

Last reviewed 01/2018

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.