Reactive Arthritis in India: A Dermatologists' Perspective

“…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. 10 In 15% ReA patients, with Yersinia infection, lesions in the form of erythema nodosum can be observed.…”

Section: Resultsmentioning

confidence: 99%

“…13,16 Except for the symptoms enumerated in the diagnostic criteria, cutaneous and mucosal lesions are very characteristic for reactive arthritis. Circinate balanitis or vulvitis (balanitis circinata) is a frequent symptom coexisting with ReA 2,7,9,17 ; it occurs in 14%-40% of patients. 11 The lesions have a form of papules, transforming into annular or semicircular erythematous erosions with visible grayish white ridges.…”

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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“…Today, infliximab, etanercept, adalimumab, golimumab, and certolizumab, are shown to achieve partial or full remission of symptoms 7 . Non-biologic disease-modifying anti-rheumatic drugs, such as methotrexate and sulfasalazine, are effective in resistant cases 8 . The case we presented shows the typical localization, morphologic features and clinical course of keratoderma blennorrhagicum as a characteristic cutaneous manifestation of ReA.…”

Section: Discussionmentioning

confidence: 99%

A rare entity: Keratoderma blenorrhagicum in a patient with Reiter’s syndrome

Yaşar¹,

Cebeci²,

Altan³

et al. 2018

TURKDERM

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Reiter sendromu, artrit, üretrit ve konjonktivit üçlüsünden oluşan sistemik bir hastalıktır. Deri bulgusu olarak palmoplantar keratoderma, sirsine balanit ya da vulvit, psoriasis benzeri deri lezyonları ve bukkal mukozada ülserasyonlar izlenir. Burada 25 yaşında, deride keratoderma blenorajikum ve sirsine vulvit ile karakterize Reiter sendromlu bir olgu sunulmaktadır. Anahtar Kelimeler: Reiter sendromu, keratoderma blenorajikum, sirsine vulvit Reiter's syndrome is a systemic disorder, originally occurs as a triad of arthritis, urethritis and conjunctivitis. Cutaneous finding sconsist of a palmoplantar keratoderma, circinate balanitis or vulvitis, psoriasis-like skin lesions, and buccal ulcerations. We present a case of Reiter's syndrome in a 25-year-old woman who developed the typical skin lesions-keratoderma blenorrhagicum and circinate vulvitis.

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Reactive Arthritis in India: A Dermatologists' Perspective

Abstract: RS may not show the typical triad in all cases, although musculoskeletal disease is seen in a significant proportion of patients. In the absence of typical signs and symptoms, cutaneous manifestations may help establish the diagnosis of RS.

Cited by 10 publications

References 24 publications

Mucosal erosions as the presenting symptom in erythema multiforme: a case report

Mucosal erosions as the presenting symptom in erythema multiforme: a case report

Cutaneous manifestation of reactive arthritis: Case report

A rare entity: Keratoderma blenorrhagicum in a patient with Reiter’s syndrome

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