Reiter's Syndrome

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Pages Below:

• urethritis
• conjunctivitis
• seronegative arthritis

History

• typically young man
• recent non-specific urethritis
• (may follow dysentry)
• large joints
• mono / oligoarthritis
• chronic / relapsing

ROS

• CVS
  • aortic incompetence (rare)
• eyes
  • iritis
• mouth
  • ulcers
• skin
  • keratoderma blenorrhagica
• GU
  • circinate balanitis
• MS
  • enthesopathy
    • plantar fasciitis
    • Achilles tendonitis

Investigations

• 2-glass urine test
  • 1st glass more matter (distinguishes from prostatitis - second glass more matter)
• synovial fluid
  • neutrophils
  • macrophages containing neutrophls (Peking cells)
• X-rays
  • periosteitis
  • rheumatoid like changes (chronic)

Management

• rest
• splint affected joints
• NSAIDs

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