Reiters syndrome
Background
- Classically urethritis, uveitis, and arthritis
- Young patients
- Associated with HLAB27
- Common precipitants are GI (salmonella, shigella, yersinia, campylobacter) and urogenital infections (mycoplasma, chlamydia)
- Can become chronic
Clinical features :
- Acute asymmetrical oligoarthritis
- Lower limbs > upper limbs
- Enthesopathy and Sacroiliitis
- Conjunctivits and iritis
- Curcinate balanitis, keratoderma blenorrhagica
- Painless oral apthous ulceration
- Sytemic upset
- Aortitis or other valuular lesions
Differential Dx
-
NB - Gonococcal arthritis
- Rhumatoid or psoriatic arthritis
- Sacroiliitis
- Rheumatic fever
- Gout
Content by Dr Íomhar O' Sullivan 29/12/2010. Last updated Dr ÍOS 18/06/21.