AN EXAMPLE OF A MULTIFACETED APPROACH TO DIAGNOSTICS AND TREATMENT OF UROGENITAL REACTIVE ARTHRITIS (REITER’S DISEASE)

Abstract

Urogenital reactive arthritis (Reiter's disease) is a vital interdisciplinary problem due to multiple symptoms of the disease, their appearance at different times, inadequate clinical alertness of specialist, as well as to the necessity of significant efforts both from the part of the doctor and the patient during the process of multifaceted diagnostics. Based on a clinical case, we demonstrate a classical clinical manifestation of urogenital reactive arthritis that was initially administered incongruent symptomatic treatment resulting only to temporary attenuation of one of the symptoms. We illustrate a comprehensive approach to management, assessment and treatment of the patient based on the causal factor, pathophysiologic characteristics of the disease and immunologic criteria, with the use of immunomorphological skin investigation, photopheresis and lymphotropic therapy.

Keywords

• urogenital reactive arthritis
• reiter's disease
• seronegative reactive arthritis of extra-articular origin
• chlamydial urethroprostatitis
• immunomorphological skin investigation
• lymphotropic therapy
• photopheresis