II. Causes: Rubella virus
- Metacarpal and proximal interphalangeal joints
- Accompanied by rash
- Duration: days to weeks
III. Causes: Parvovirus B19 (Erythema Infectiosum)
- Severe sudden onset Polyarticular Arthritis
- Occurs in 60% of infected adults (rare in children)
- Duration: temporary, but may last years
IV. Causes: Mumps Virus
- Large joints involved 1-2 weeks after parotid swells
- Duration: 2 weeks
- Rarely occurs in children
V. Causes: Varicella Zoster Virus (Chicken Pox)
- Similar Arthritis as seen with Mumps Virus
- Bacterial Superinfection may result in Septic Arthritis
VI. Causes: Human Immunodeficiency Virus (HIV Infection)
-
Acute Retroviral Syndrome (HIV Presentation)
- Associated with Arthralgias and Myalgias in 50-70%
- Subacute Oligoarticular Arthritis of knees and ankles
- Transient over weeks to 2 months
- Responds to NSAIDs
- Painful articular syndrome (10% of cases)
- Intermittent severe Joint Pain lasts less than 1 day
- Involves Shoulders, knees and elbows
- Pain may be incapacitating and require Narcotics
- HIV Associated rheumatic conditions
VII. Causes: Hepatitis Viruses
-
Hepatitis A Virus (occurs in 10-14% of cases)
- Arthralgia and rash occur during acute phase
-
Hepatitis B
Virus (occurs in 20-25% of cases)
- Sudden, Severe, symmetric, Polyarticular Arthritis
- Resolves before Jaundice onset
- Chronic Arthritis may occur in Chronic Hepatitis B
- Significant morning stiffness
- Hand and Knee Joints most commonly affected
-
Hepatitis C
Virus
- Rapidly progressive acute Arthralgias and myalgias
- Joint Pain out of proportion to clinical signs
- Associated with development of Rheumatoid Arthritis
VIII. Causes: Assorted viruses
- Causes
- Enteroviruses
- Adenoviruses
- Arboviruses
- Epstein-Barr Virus
- Joint involvement follows acute viral syndrome
- Upper Respiratory Infection
- Gastroenteritis (Coxsackievirus or Adenovirus)
- Severe chronic Arthritis may develop
IX. Causes: Alphaviruses (Mosquito borne)
X. References
- Klippel (1997) Primer Rheumatic Diseases, p. 201-4
- Siegel (1996) Am Fam Physician 54(6):2009-15 [PubMed]
- Ytterberg (1999) Curr Opin Rheumatol 11:275-80 [PubMed]
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Related Studies
Concepts | Disease or Syndrome (T047) |
MSH | D001170 |
SnomedCT | 239780003 |
English | Arthritides, Viral, Viral Arthritides, Viral Arthritis, Arthritis due to viral infect, viral arthritis, viral arthritis (diagnosis), Arthritis viral NOS, Arthritis;viral, Arthritis viral, Arthritis due to viral infection, Viral arthritis, Arthritis due to viral infection (disorder), Arthritis, Viral |
Dutch | virale artritis, artritis viraal NAO, artritis viraal, Artritis, virale |
French | Arthrite virale SAI, Arthrite virale |
German | Arthritis viral NNB, Arthritis, virogene, virale Arthritis |
Italian | Artrite virale NAS, Artrite virale |
Portuguese | Artrite vírica NE, Artrite vírica, Artrite Viral, Artrite viral |
Spanish | Artritis vírica NEOM, Artritis vírica, Artritis Viral, artritis por infección viral, artritis debida a infección viral, artritis por infección viral (trastorno), artritis debida a infección vírica, artritis debida a infección viral (trastorno), Artritis viral |
Japanese | ウイルス性関節炎, ウイルス性関節炎NOS, ウイルスセイカンセツエンNOS, ウイルスセイカンセツエン |
Czech | Virová artritida NOS, Virová artritida, virová artritida |
Croatian | ARTRITIS, VIRUSNI |
Hungarian | virusos arthritis k.m.n., virusos arthritis, Viralis arthritis |
Norwegian | Viral artritt, Artritt, viral, Virusartritt |