Current RMA Instruments
75 of 2018 | |
76 of 2018 |
Changes from previous Instruments
SOP Bulletin 204 [3]
ICD Coding
Brief description
Reactive arthritis is an immune reaction that typically presents as an acute onset arthritis that develops between several days and around 4 weeks after an infection elsewhere in the body. The arthritis usually asymmetrically involves one or a few joints, most commonly in the lower limbs. The preceding infection typically affects the digestive tract (dysentery) or the urogenital tract (urethritis). There may be other musculoskeletal symptoms and extra-articular manifestations, involving the eyes, mucosa and skin.
Confirming the diagnosis
The diagnosis is made based on the clinical findings and by the exclusion of other diseases and can be made by a GP. A range of investigations may be needed, including examination/testing of joint fluid, blood testing and testing for urinary or gastrointestinal infection.
The relevant medical specialist is a rheumatologist.
Additional diagnoses covered by SOP
Conditions not covered by SOP
* another SOP applies
# non-SOP condition
Clinical onset
Reactive arthritis is a relatively rare condition that mostly affects young adults. The usual clinical onset is an acute asymmetric oligoarthritis that almost always develops between a few days and four weeks after the inciting infection.
Clinical worsening
The typical disease duration is 3 to 5 months. A small proportion of patients may experience more chronic persisting arthritis. The only SOP worsening factor is for inability to obtain appropriate clinical management.
Place holder node for Rulebase for reactive arthritis
Reactive arthritis - Enteric bacterial infection Factor
Last reviewed for CCPS 14 December 1998.
Preliminary questions [6835]
6836 [5] the veteran has suffered from an enteric bacterial infection at some time.
6837 — the veteran has established the causal connection between the enteric bacterial infection and VEA service for Reiter's syndrome.
6839 — the veteran has established the causal connection between the enteric bacterial infection and VEA service for the clinical onset of Reiter's syndrome.
6846 — the veteran has established the causal connection between the enteric bacterial infection and operational service for the clinical onset of Reiter's syndrome.
or
6847 — the veteran has established the causal connection between the enteric bacterial infection and eligible service for the clinical onset of Reiter's syndrome.
or
6840 [6] the clinical onset of Reiter's syndrome occurred after the end of the veteran's last period of VEA service. the veteran's Reiter's syndrome permanently worsened. 6843 — the veteran has established the causal connection between the enteric bacterial infection and VEA service for the clinical worsening of Reiter's syndrome. 6850 — the veteran has established the causal connection between the enteric bacterial infection and operational service for the clinical worsening of Reiter's syndrome. or 6851 — the veteran has established the causal connection between the enteric bacterial infection and eligible service for the clinical worsening of Reiter's syndrome. Clinical onset and operational service [6846] Clinical onset and eligible service [6847] Clinical worsening and operational service [6850] Clinical worsening and eligible service [6851]
Reactive arthritis - Inability to obtain appropriate clinical management for Reiter's syndrome Factor
Last reviewed for CCPS 14 December 1998.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [5477]
6840 [6] the clinical onset of Reiter's syndrome occurred after the end of the veteran's last period of VEA service. the veteran's Reiter's syndrome permanently worsened. the veteran was unable to obtain appropriate clinical management for Reiter's syndrome at some time.
5484 [22] the inability to obtain appropriate clinical management for Reiter's syndrome contributed to the clinical worsening of the veteran's Reiter's syndrome. 5479 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for Reiter's syndrome and VEA service for the clinical worsening of Reiter's syndrome. 5480 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for Reiter's syndrome and operational service for the clinical worsening of Reiter's syndrome. or 5481 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for Reiter's syndrome and eligible service for the clinical worsening of Reiter's syndrome. Clinical worsening and operational service [5480] or 6894 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for Reiter's syndrome is causally related to operational service. [26] [27] Clinical worsening and eligible service [5481] or 6895 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for Reiter's syndrome is causally related to eligible service. [26] [27]
Reactive arthritis - Sexually acquired infection of the urethra Factor
Last reviewed for CCPS 14 December 1998.
Preliminary questions [6864]
6865 [34] the veteran has suffered from a sexually acquired infection of the urethra at some time.
6866 — the veteran has established the causal connection between the sexually acquired infection of the urethra and VEA service for Reiter's syndrome.
6868 — the veteran has established the causal connection between the sexually acquired infection of the urethra and VEA service for the clinical onset of Reiter's syndrome.
6872 — the veteran has established the causal connection between the sexually acquired infection of the urethra and operational service for the clinical onset of Reiter's syndrome.
or
6874 — the veteran has established the causal connection between the sexually acquired infection of the urethra and eligible service for the clinical onset of Reiter's syndrome.
or
6840 [6] the clinical onset of Reiter's syndrome occurred after the end of the veteran's last period of VEA service. the veteran's Reiter's syndrome permanently worsened. 6870 — the veteran has established the causal connection between the sexually acquired infection of the urethra and VEA service for the clinical worsening of Reiter's syndrome. 6876 — the veteran has established the causal connection between the sexually acquired infection of the urethra and operational service for the clinical worsening of Reiter's syndrome. or 6878 — the veteran has established the causal connection between the sexually acquired infection of the urethra and eligible service for the clinical worsening of Reiter's syndrome. Clinical onset and operational service [6872] Clinical onset and eligible service [6874] Clinical worsening and operational service [6876] Clinical worsening and eligible service [6878]
Links
[1] http://www.rma.gov.au/assets/SOP/2018/075.pdf
[2] http://www.rma.gov.au/assets/SOP/2018/076.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20204.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/64050%23comment-form
[5] https://clik.dva.gov.au/ccpsa006rc-4
[6] https://clik.dva.gov.au/node/71664
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/reject6844No
[10] clikpopup://CCPS/reject6853No
[11] clikpopup://CCPS/rejectwilful
[12] clikpopup://CCPS/reject6845No
[13] clikpopup://CCPS/reject6854No
[14] clikpopup://CCPS/reject6855No
[15] clikpopup://CCPS/reject6848No
[16] clikpopup://CCPS/reject6859No
[17] clikpopup://CCPS/reject25274No
[18] clikpopup://CCPS/reject6849No
[19] clikpopup://CCPS/reject6861No
[20] clikpopup://CCPS/reject6862No
[21] https://clik.dva.gov.au/ccpsother-31
[22] clikpopup://CCPS/Inability to obtain ACM contributed to worsening of Reiter's Syndrome
[23] clikpopup://CCPS/ACM/NoContribution
[24] clikpopup://CCPS/ACM/NotOpService
[25] clikpopup://CCPS/ACM/NotOperDuties
[26] clikpopup://CCPS/ACM/NoIllness
[27] clikpopup://CCPS/reject6894,6895No
[28] clikpopup://CCPS/Worsening of Reiter's syndrome op service req - inability to obtain ACM
[29] clikpopup://CCPS/ACM/OnsetFailOper
[30] clikpopup://CCPS/ACM/NotEligService
[31] clikpopup://CCPS/ACM/NotEligDuties
[32] clikpopup://CCPS/Worsening of Reiter's syndrome elig service req - inability to obtain ACM
[33] clikpopup://CCPS/ACM/OnsetFailElig
[34] https://clik.dva.gov.au/ccpsa006rc-0
[35] clikpopup://CCPS/reject6871No
[36] clikpopup://CCPS/reject6879No
[37] clikpopup://CCPS/reject32573No
[38] clikpopup://CCPS/reject6873No
[39] clikpopup://CCPS/reject6881No
[40] clikpopup://CCPS/reject6882No
[41] clikpopup://CCPS/reject6875No
[42] clikpopup://CCPS/reject6885No
[43] clikpopup://CCPS/reject25276No
[44] clikpopup://CCPS/reject6877No
[45] clikpopup://CCPS/reject6887No
[46] clikpopup://CCPS/reject6888No