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12 Cards in this Set
- Front
- Back
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Reiter’s syndrome often occurs postdysentary or associated with what?
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STIs
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What is the classic triad of Reiter’s Syndrome
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Arthritis (oligoarticular, and lower extremity joints more than upper)
-conjunctivitis -nongonococcal urethritis |
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What are some other S/s of Reiter’s?
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-enthesitis
-spondylitis -mucocutaneous lesions on tongue, palate, and glans penis |
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What is Keratoderma blenorrhagicum that is associated with Reiter’s?
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hyperkeratotic rash on soles or palms
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What are some remote system involvement that can occur in Reiter’s?
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-pericarditis
-peripheral neuropathy -constitutional symptoms such as fever, weight loss, and malaise |
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What are some other physical finds of Reiters?
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sausage shaped digitis, oral ulcerations, circinate blanitis, Keratoderma blenorrhagia
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In kids with one swollen digit, what does it equal?
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a medical emergency
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What are the 3 things required for the dx of Reiter’s?
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arthritis
urethritis or cervicitis -at least ONE of the extra-articular features |
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What other lab values are elevated in Reiter’s?
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ESR and WBC count and IgA levels
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What anemia can be associated with Reiter’s?
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normochromic anemia
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What is the treatment for Reiter’s?
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-doxy for Chlamydia
-cipro for salmonella, shigella, Yersinia, and Campylobacter -NSIADS for arthritis -Methotrexate, Sulfasalazine, or Azathioprine for refractory arthritis |
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Tell me about the course of Reiter’s
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-symptoms last 1-2 weeks post sexual encounter or during foodborne infection
-can last several months -95% resolve in 6 months -1/2 will recur over next several years -persistent arthritis development is rare |
