<\/span><\/h2>\nReiter's syndrome has been reclassified as reactive arthritis<\/span> and it is a type of spondyloarthropathy. This page will be revised to reflect the name change.<\/span><\/p>\nReiter's syndrome is a collection of symptoms, but it generally has three main characteristics: arthritis, symptoms of the genitourinary tract, and conjunctivitis<\/span>. Skin lesions and mucous<\/span> The membranes also develop in some patients.<\/p>\nSome or all of these symptoms usually occur 1 to 3 weeks after a infection<\/span> of the genitourinary tract or bacterial<\/span> gastrointestinal infection that causes diarrhea. Arthritis is sometimes known as reactive arthritis, which means that arthritis occurs as a reaction to an infection that started in another part of the body.<\/p>\nReiter's syndrome usually lasts for several months. The symptoms are the same regardless of the origin of the triggering infection.<\/p>\n
<\/span>What causes Reiter's syndrome?<\/span><\/h2>\nThe exact cause of Reiter's syndrome remains unknown, but people with a genetic<\/span> guy called HLA<\/span>-B27 has a higher probability of developing the syndrome (approximately 80% of people with Reiter's syndrome have this disease) gene<\/span>) Having this gene does not mean you will develop Reiter syndrome, but it can predispose<\/span> to you if you have certain infections.<\/p>\nGenitourinary Reiter's syndrome is often a reaction to a urethral infection that has been passed from one person to another through sexual intercourse. The infection is more commonly chlamydia.<\/p>\n
Gastrointestinal or enteric Reiter's syndrome can develop after acute<\/span> bacterial diarrhea caused by eating food contaminated with bacteria<\/span> such as salmonella, shigella, or campylobacter.<\/p>\n\n
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<\/span>How common is Reiter's syndrome and who gets it?<\/span><\/h2>\nPeople of all races, ages and sex<\/span> You can get Reiter's syndrome, however, it is more common in young men. It is the most common form of arthritis that affects men between 20 and 40 years old.<\/p>\nHIV<\/span>Positive men who carry the HLA-B27 gene and are exposed to the appropriate triggers develop Reiter's syndrome in 75% cases. For this reason, a newly diagnosed patient with Reiter's syndrome should have their HIV status verified and undergo a urological and gastrointestinal examination for infection.<\/p>\n<\/span>What is the clinical presentation of Reiter's syndrome?<\/span><\/h2>\nReiter's syndrome generally affects the genitourinary tract, joints, and eyes in that time sequence. Less frequently, skin and mucous membrane<\/span> Lesions may be present.<\/p>\n\n\n\n| Site<\/th>\n | Clinical characteristics of Reiter's syndrome.<\/th>\n<\/tr>\n |
\n| Genitourinary tract<\/td>\n | \n\n- The prostate, urethra, and penis can be affected in men.<\/li>\n
- The fallopian tubes, uterus, cervix, vagina, and urethra can be affected in women.<\/li>\n
- The most common and generally the first. symptom<\/span> it's a burning sensation when urinating<\/li>\n
- There may be a download<\/span> penis especially in the morning<\/li>\n
- \nInflammation<\/span> of the prostate gland can cause fever<\/span> and chills (prostatitis)<\/li>\n
- Some patients, especially women, may not experience genitourinary symptoms.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Joints<\/td>\n | \n\n- Arthritis occurs in the 95% of patients.<\/li>\n
- It varies in severity from week to week, episodes last approximately 1-4 months<\/li>\n
- The first symptoms are pain and swelling of the knees, ankles, and feet.<\/li>\n
- Usually several joints are involved at once<\/li>\n
- Tendon involvement is common and causes pain in the heel, feet, and back (enthesopathy<\/span>)<\/li>\n
- Low back pain and morning stiffness (sacroiliitis)<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Eyes<\/td>\n | \n\n- Conjunctivitis occurs in the 50% of patients.<\/li>\n
- \nUveitis<\/span> it can also arise (inflammation of the inner eye)<\/li>\n
- Signs and symptoms include red eyes, pain, irritation, and blurred vision.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Skin and mucous membranes<\/span>\n<\/td>\n | \n\n- 1 to 2 months after the onset of arthritis, some patients develop keratoderma<\/span> blennorrhagicum. This refers to hard and sensitive lumps. scaly<\/span> patches and \/ or pustules<\/span> and blisters on the soles of the feet and can spread to the foreheads of the legs. Chlamydia trachomatis has been isolated from the affected skin.<\/li>\n
- The tips of the fingers and toes and nail<\/span> can develop painful lumps, scaly areas, and pus-filled blisters<\/li>\n
- Scaly red spots may appear on other parts of the body, including the face, which resemble psoriasis<\/li>\n
- \nRecurrent<\/span> mouth ulcers<\/span> on the tongue, lip, gums, palate and soft palate<\/li>\n
- \nEruption<\/span> on the head of the penis (circumcised balanitis<\/span>)<\/li>\n
- Much more common in genitourinary Reiter syndrome than in gastrointestinal Reiter<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n
<\/span>Reiter's syndrome<\/span><\/h5>\n<\/section>\n\n\n \n  \n<\/div>\n Reiter's syndrome<\/p>\n \n  \n<\/div>\n Blenorrhagic keratoderma<\/p>\n<\/p><\/div>\n<\/section>\n <\/div>\n <\/span>What treatment is available for Reiter's syndrome?<\/span><\/h2>\nThere is no cure for Reiter's syndrome. However, in many patients the symptoms resolve completely over long periods of time. About 65% of patients will resolve in 6 months. Approximately 40% of patients will experience reappearance<\/span> after the initial flare has been established.<\/p>\nDuring an active phase of the disease, treatment may include:<\/p>\n \n- Antibiotics to eliminate the original bacterial infection, especially if it is genitourinary.<\/li>\n
- Nonsteroidal anti-steroidsinflammatory<\/span> drugs (NSAID<\/span>) to reduce inflammation and joint pain<\/li>\n
- Drainage of inflamed joints, injections of corticosteroids into painful joints.<\/li>\n
- Bed rest in acute early stages<\/li>\n
- Strengthening exercises to maintain mobility.<\/li>\n<\/ul>\n
In many ways, Reiter's syndrome can resemble psoriasis in appearance. Treatment of the skin condition is similar to that recommended for psoriasis and may include ointments (emollients<\/span>, coal tar, calcipotriol, current<\/span> steroids), Ultraviolet radiation<\/span> (phototherapy). Oral medications (acitretin, methotrexate, cyclosporine, azathioprine) may be required to control<\/span> skin lesions and for patients with severe joint disease.<\/p>\nIn severe cases of Reiter's syndrome, symptoms can interfere with work and daily activities. In rare cases, the heart and nervous system may be involved.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":" \u00bfQu\u00e9 es Reiter? s\u00edndrome? El s\u00edndrome de Reiter ha sido reclasificado como reactivo artritis y es un tipo de espondiloartropat\u00eda. Esta p\u00e1gina se someter\u00e1 a revisi\u00f3n para reflejar el cambio…<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-16547","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16547","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=16547"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16547\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=16547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=16547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=16547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}} | | | |