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Table 28.1

Causes of Acute Arthritis

CauseMonoarthritisUsually oligoarthritis (2–4 joints)Usually polyarthritis (5 or more joints)
CommonGoutAnkylosing spondylitisRheumatoid arthritis
PseudogoutSystemic lupus erythematosus
Septic arthritisInflammatory bowel disease
Trauma*Viral diseases (e.g. rubella, hepatitis B and C, infectious mononucleosis)
Haemarthrosis secondary to warfarin anticoagulationReactive arthritis following gut or genitourinary infection
Flare of osteoarthritis (overuse or minor trauma)Psoriatic arthritis
Endocarditis (acute synovitis or tenosynovitis)
Uncommon or rareOsteonecrosisSarcoidosisPost-streptococcal infection
Pigmented villonodular synovitisWhipple disease
Leukaemia
Vasculitis
TuberculosisSyphilis
HaemophiliaAdult Still's disease
PalindromicFamilial
rheumatismMediterranean fever

* Causing internal derangement, haemarthrosis or fracture, or acute synovitis from penetrating injury.