A CASE OF REACTIVE POST-ENTEROCOLITIC ARTHRITIS (REITER’S SYNDROME)

Abstract

Reactive arthritis is an autoimmune disease from the group of seronegative arthritis known as spondyloarthropathy. Two types of the disease are designated by this term, namely post-enter- itic (Reiter's syndrome) and venereal (urogenital) (Reiter's disease). Irrespective of the infectious agent, both types of the disorder can be associated with various symptoms including skin and mucosal lesions and heart. However, the post-enteritic type of reactive arthritis is associated also with intestinal problems and the venereal one (mostly being of chlamydial origin), – with gen- itourinary disorders. Due to highly variable clinical manifestations of reactive arthritis, patients frequently receive only symptomatic treatment that temporarily eliminates some symptoms. We describe a clinical example of diagnostic approach to this complex disease, that allowed for putting the defnite diagnosis and perform diferential diagnosis with other similar disorders including urogenital reactive arthritis. This paper could be of interest for practitioners in various specialties, frst, for dermatovenereologists, rheumatologists, gastroenterologists, internists and rehabilitation specialists.

Keywords

• reactive arthritis
• urogenital reactive arthritis
• post-enterocolitic reactive arthritis
• reiter's disease
• reiter's syndrome
• seronegative reactive arthritis of extra-articular origin
• psoriasis-like rash
• keratodermia