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 Sacroilitis
  • Conjunctivits and iritis
  • Curcinate balanitis, keratoderma blenorrhagica
  • Painless oral apthous ulceration
  • Sytemic upset
  • Aortitis or other valuular lesions

Differential Dx