The triad of Urethritis + Arthritis + Conjunctivitis = ?
Reiters syndrome etiology 1. genitourinary infection with chlamydia 2. gastrointestinal infection with salmonella and campylobacter Salient features 1. Seronegative arthropathy 2. HLA B27 Positive 3. Traid of conjunctivitis, urethritis and arthritis . Dermatological manifestation: keraroderma blenorragicum. Treatment oral doxycycline or macrolides
This is Classical Reiter's Syndrome. Usually affects young males. Caused by unknown bacteria, Usually Chlamidia. This is a reactive Arthritis of autoimmune reaction that reacts to infection. Associated with gastro intestinal infections like Shigella Salmonella Campylobacter.
Reiter's syndrome is a triad of Urethritis, arthritis and conjunctivitis.
rieter syndrome.
Reactive arthritis after gastrointestinal infections (shigella, salmonela yersinia camphylobacter or std(chlamydia trachomatis ureaplasma urealyticum) ratio is 1:1 after enteric and 9:1 after std. Seronegative arthritis ,asymmetrical involving knee ankle . sarcoiliitis, ankylosing spondylosis in 20./. of cases. Mucocutaneous lesion balanitis, stomatitis, keratoderma blennorrhagicum. Finger nail involvement mimicing psoriasis. Conjunctivitis, anterior uveitis in HAL -B27 Carditis, aortic regurgitation may occur. DD gonoccocal arthritis ,RA ankylosing spondylosis ,psoriatic arthritis, Behcet disease. RX nsaids sulfasalazine 1000 mg BD methotrexate 7.5mg-20mg per wk Anti-TNF Agents.
REITERS SYNDROME IN ADULTS STILLS DESEASE IN CHILDREN
Reiter 's disease :
Reiter's syndrome
Reiter syndrome
Reiters Syndrome
Cases that would interest you
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14 years Male with history of generalised eruptions, polyarthritis with sacroileitis , dactylitis ,and unable to walk with severe low back pain since 1 year .Associated with infective lesions over legs and foot with seropurulent discharge . Diagnosis of Reiter 's disease is made with D/D as Psoriatic arthritis. ankylosing spondylitis. Patient is on wheel chair since 6 months. Opinion. diagnosis and further management
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20 year old female, with h/o of urethritis since the past 4 days ?
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19yo M with painful recurrent episodes of scrotal and penile ulcers and intermittent of anterior uveitis and scleritis, presents to ER with severe headache and is found with aseptic meningitis. He went undiagnosed for several months until he presented with hemoptysis from pulmonary artery aneurysm and also with recurrent aseptic meningitis. What's your differential diagnosis?
Dr. Somesh Sharma4 Likes25 Answers - Login to View the image
A 65 yr old female non DM non HTN with no known addictions, came to me with h/o painful ulcerations over the tongue,soft palate and buccal mucosa since 1yr...on and off...she received multiple treatments...including multivitamins, short courses of steroids twice in this one year..subsided in between.But this time she is having it since 1 month,not subsiding with treatment and severe pain along with difficulty in swallowing. I diagnosed it as recurrent aphthous stomatitis and adv workup. HIV negative,RBS normal,UGI endoscopy-Normal.ANA sent report awaited. There are no other signs and symptoms suggestive of malignancy or autoimmune or behcets disease. I suspected HSV stomatitis and so started her on acyclovir, but did not send tzanck smear...also put her on triamcinolone 0.1% buccal paste, amlexanox and lignocaine ointment and also started pentoxyfylline 400 tid...she came after 3 days with no improvement and so i added defcort 6 mg bid. what is the next course of action,should i get a biopsy. Need expert opinion pls
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28yr old male ptnt having MRI attached ,c/o severe bacckache,,and pain either of the lower limb,, unable to walk properly,,can't able to stand properly specially during winter season.what to do now??Rx??
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