Keratoderma blenorrhagicum in a patient with Reiter syndrome

Dimitrova, Valentina; Valtchev, V.; Yordanova, Ivelina

doi:10.5272/jimab.14-1-2010.68

Cited by 5 publications

(6 citation statements)

References 3 publications

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“…7,10 They usually occur 1-2 months after arthritis; they rarely precede arthral symptoms or occur at the same time. 4 The psoriasis-like lesions can occur in about 10%-20% of patients, usually in the area of the joints involved, on the scalp and in the navel area. 7,9 Additionally, the nail plates may be involved in the form of subungual hyperkeratosis in 6%-12% of patients.…”

Section: Resultsmentioning

confidence: 99%

Cutaneous manifestation of reactive arthritis: Case report

Krajewska–Włodarczyk

Owczarczyk‐Saczonek

Placek

2015

Polish Annals of Medicine

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Available online xxxKeywords: Reactive arthritisReiter disease Keratoderma blenorrhagicum Balanitis circinata a b s t r a c t Introduction: Reactive arthritis (ReA) is one of the forms of seronegative spondyloarthropathies.The difficulties in the diagnosis of reactive arthritis, despite a complex clinical picture, result from the lack of unequivocal diagnostic criteria, especially in the initial period. Diverse clinical manifestation of ReA may require the cooperation of many specialists.Aim: The case of a 59-year-old man with reactive arthritis caused by an acute Yersinia enterocolitica infection 3 weeks before was described.Case study: A 59-year-old patient, so far healthy, was admitted due to fever for a few days, pain and swelling of crurotalar joints, pain in the left part of the lumbosacral region, escalating at night, and additional complaints impeding urinating. Joint involvement was accompanied by numerous cutaneous and mucosal lesions.Results and discussion: In this case the presence of characteristic cutaneous symptoms as keratoderma blenorrhagicum and balanitis circinata allowed to identify the disease quickly, despite a short course of the disease. The presence of antibodies of Y. enterocolitica IgA was noticed, without the presence of IgG and IgM. The presence of HLA B27 antigen was positive.In this case, the occurrence of many characteristic cutaneous lesions enabled a quick identification of the disease, despite the difficulties with determining the etiological factor. Conclusions:The diagnosis of ReA is clinical, based on the history and physical examination findings. A high index of suspicion is required because no laboratory tests, markers or imaging finding allow diagnosing of ReA. The most important is proper cooperation between a rheumatologist and a dermatologist.# 2015 Warmińsko-Mazurska Izba Lekarska w Olsztynie. Published by Elsevier Sp. z o.o.All rights reserved.

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Section: Resultsmentioning

confidence: 99%

Cutaneous manifestation of reactive arthritis: Case report

Krajewska–Włodarczyk

Owczarczyk‐Saczonek

Placek

2015

Polish Annals of Medicine

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“…In 1818, Brodie published a case of Reiter's syndrome after venereal infection, followed by Stoll, who described a case of the disease in 1869. [410]…”

Section: Discussionmentioning

confidence: 99%

“…However, recent human data suggest that TLR-2, not TLR-4, is important in determining reactive arthritis susceptibility after Salmonella infection. [41011] Severe cases of Fiessinger-Leroy's disease can occur as a late manifestation of HIV. Other rare factors, which can induce the disease, are immunotherapy with Bacillus Calmette–Guerin and interferon α, following hepatitis B vaccination.…”

Section: Discussionmentioning

confidence: 99%

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Fiessinger-Leroy's disease: A rare case report

Dhamecha

Patel

et al. 2017

Indian J Sex Transm Dis

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Fiessinger-Leroy's disease (Reiter's disease) is rare and not commonly reported in India. This paper reports a case of a 35-year-old male with Fiessinger-Leroy's disease, occurring after balanitis. The patient presented with symmetrical polyarthritis, pruritic scaly plaques, keratoderma blenorrhagicum, and hematuria with histopathology of skin suggestive of Fiessinger-Leroy's disease. The case is presented with a view to document the occurrence of the same in India.

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“…In the differential diagnosis of pustular eruption, generalized pustular psoriasis, Reiter syndrome, subcorneal pustular dermatosis, acute generalized exanthematous pustulosis (AGEP), acneiform drug eruptions, folliculitis, eosinophilic folliculitis, palmoplantar pustulosis, SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis), hand-foot-and-mouth disease, and viral diseases such as varicella should be considered [3, 13, 14, 15, 16]. Clinical and histopathological examinations are helpful in the differential diagnosis (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Pustular eruption induced by etanercept in ankylosing spondylitis patient: a rare side effect

Kara

Alataş

Celebi

et al. 2015

North Clin Istanbul

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Etanercept is a tumor necrosis factor alpha (TNF-a) antagonist with anti-inflammatory effects. It is used in the treatment of dermatologic and rheumatologic diseases such as rheumatoid arthritis, polyarticular juvenile rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis. However, etanercept has various cutaneous and systemic side effects. Herein, we report a case of generalized pustular eruption due to etanercept therapy in an ankylosing spondylitis patient and review pustular diseases.

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Keratoderma blenorrhagicum in a patient with Reiter syndrome

Cited by 5 publications

References 3 publications

Cutaneous manifestation of reactive arthritis: Case report

Cutaneous manifestation of reactive arthritis: Case report

Fiessinger-Leroy's disease: A rare case report

Pustular eruption induced by etanercept in ankylosing spondylitis patient: a rare side effect

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