Must know Points in REITER’S SYNDROME for Board Exams
It is a clinical triad of urethritis , arthritis and conjunctivitis occurring some week after either dysentery of genitourinary infection .
It is now recognised that this is one of the classic form of reactive arthritis, I.e , an aseptic inflammatory arthritis associated with non – specific infection.
Cause of Reiter syndrome
First degree relatives and a close association with HLA- B27 point to a genetic predisposition.
Gut pathogens include Shigella flexneri , Salmonella , Campylobacter species and Yersinia enterocolitica .
Lymphogranuloma venereum and chlamydia trachomatis have been implicated as sexually transmitted infections.
Clinical features for Reiter syndrome
The acute phase of the disease is marked by an asymmetrical inflammatory arthritis of the lower limb joints. The joint may be acutely painful, hot and swollen with a tense effusion , sugessting gout or infection
The chronic phase is more characteristic of a spondylo arthropathy.