Noting the common occurrence of arthritis in contemporary elephants, a
skeletal study was undertaken to assess the frequency and nature of t
he affliction. Spondyloarthropathy was unequivocally diagnosed in mamm
oths (Mammuthus primigenius) and contemporary elephants on the basis o
f fusion of vertebral bodies with marginal syndesmophytes, zygoapophys
eal joint fusion, and peripheral erosive arthritis and fusion and was
easily distinguished from infectious spondylitis and diffuse idiopathi
c skeletal hyperostosis. Vertebral involvement was limited in distribu
tion, in a pattern characteristic of human psoriatic arthritis and Rei
ter's syndrome, also referred to as reactive arthritis. Infectious dia
rrhea or sexually transmitted reactive arthritis are the most likely c
andidates for this phenomenon, as recognized in elephants and mammoths
, which affords a unique opportunity for therapeutic intervention.