2013
DOI: 10.3389/fimmu.2013.00418
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A Review of Serological Tests to Assist Diagnosis of Reactive Arthritis: Critical Appraisal on Methodologies

Abstract: On a population-based level, the incidence of reactive arthritis (ReA) is 0.6–27/100,000. The definition of ReA varies and its pathogenesis is not yet clear. Attempts in basic immunology to suggest hypotheses for proliferation of forbidden B cell clones, molecular mimicry, and involvement of cross-reactive antibodies are helpful but not sufficient. Importantly, for the clinical diagnosis of the preceding infection, serology is widely used. Unfortunately, the accuracy of associations between serologic findings … Show more

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Cited by 21 publications
(8 citation statements)
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References 68 publications
(75 reference statements)
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“…Campylobacteriosis is believed to cause over two million cases of foodborne diarrhea in the US annually, resulting in approximately 100 deaths (CDC, 2013), but it is a more serious infection in developing countries among young children, reflected in the reported 8.8% fatality rate among children younger than five in a study from Kenya (WHO, 2013). Campylobacteriosis can cause post-infectious complications including joint or muscular symptoms (including reactive arthritis) (Hannu et al, 2002, Locht and Krogfelt, 2002, Hill Gaston and Lillicrap, 2003, Hannu et al, 2004, Ajene et al, 2013, Tuuminen et al, 2013) and Guillain-Barre Syndrome (an immune-mediated demyelinating polyneuropathy of peripheral nervous system), which, after the decline in polio cases, became the most common cause of acute flaccid paralysis (Jackson et al, 2013, Nyati and Nyati, 2013). Despite the considerable morbidity and socioeconomic cost of campylobacteriosis, many aspects of host-pathogen interaction are not fully understood due to the lack of suitable small animal models (Newell, 2001).…”
Section: Introductionmentioning
confidence: 99%
“…Campylobacteriosis is believed to cause over two million cases of foodborne diarrhea in the US annually, resulting in approximately 100 deaths (CDC, 2013), but it is a more serious infection in developing countries among young children, reflected in the reported 8.8% fatality rate among children younger than five in a study from Kenya (WHO, 2013). Campylobacteriosis can cause post-infectious complications including joint or muscular symptoms (including reactive arthritis) (Hannu et al, 2002, Locht and Krogfelt, 2002, Hill Gaston and Lillicrap, 2003, Hannu et al, 2004, Ajene et al, 2013, Tuuminen et al, 2013) and Guillain-Barre Syndrome (an immune-mediated demyelinating polyneuropathy of peripheral nervous system), which, after the decline in polio cases, became the most common cause of acute flaccid paralysis (Jackson et al, 2013, Nyati and Nyati, 2013). Despite the considerable morbidity and socioeconomic cost of campylobacteriosis, many aspects of host-pathogen interaction are not fully understood due to the lack of suitable small animal models (Newell, 2001).…”
Section: Introductionmentioning
confidence: 99%
“…In humans, the serovar S. Typhimurium causes an acute gastroenteritis characterized by an inflammatory diarrhea and fever (239)(240)(241)(242). In rare cases this is followed by reactive arthritis (243,244). Besides being a significant cause of human morbidity and mortality, S. Typhimurium was one of the first and most powerful models for bacterial genetics.…”
Section: Salmonella Speciesmentioning
confidence: 99%
“…IgG and especially antibodies of IgA class may persist for several months to years in sera of patients after postinfectious arthritis caused by YE [44]. However, the accuracy of associations between serologic findings and clinical conclusions is hampered by poor standardization of serologic methods [45].…”
Section: Discussionmentioning
confidence: 99%