A 28-year-old male presents with a painful swollen knee.
He feels generally unwell and has fever. He has a psoriasiform rash on his glans
penis and he also complains
of low backache.
Six weeks previously he has had a self-limiting episode
In this patient
Prompt treatment will reduce the chance of recurrence
High dose steroids should be used without delay
Prolonged antibiotic treatment will prevent the disease becoming chronic
If the disease becomes chronic sulphasalazine and methotrexate are useful
second line agents
He has a greater than 50 % chance of developing erosive disease or