Looking for online definition of Fiessinger-Leroy-Reiter syndrome in the Medical Dictionary? Fiessinger-Leroy-Reiter syndrome explanation free. What is. Download Citation on ResearchGate | Fiessinger Leroy Reiter syndrome | Whether it follows an attack of diarrhea or a venereal infection, the. Annales de Dermatologie et de Vénéréologie – Vol. – N° 5 – p. – Arthrite réactionnelle (syndrome de Fiessinger-Leroy-Reiter) – EM|consulte.
|Published (Last):||26 April 2010|
|PDF File Size:||12.27 Mb|
|ePub File Size:||17.1 Mb|
|Price:||Free* [*Free Regsitration Required]|
Most patients have severe symptoms lasting a few weeks to six months. Ophthalmologic problems include conjunctivitis with erythema, fiessinver, tearing, and photophobia. The urethracervix and the throat may be swabbed in an attempt to culture the causative organisms. The postulated triggering agents are Chlamydia trachomatisShigella flexneriSalmonella spp. The striking feature was the symmetrical polyarthritis with painful joints, resulting in morning stiffness and limited joint mobility throughout the day.
First, it was thought that TLR-4 expression by neutrophil was responsible for host clearance. Prognosis Prognosis is variable. Genetic constitution many patients are HLA-Bpositive contributes to the pathogenesis of the disease. When reactive arthritis appears in a triad that also includes ophthalmic and urogenital manifestations, the eponym “Reiter’s syndrome” was often applied; German physician Hans Conrad Julius Reitera physician and leader of the Nazi party, described the condition in a soldier he treated during World War I.
Reactive arthritis Reactive arthritis of the knee Specialty Rheumatology Reactive arthritisformerly known as Reiter’s syndromeis a form of inflammatory arthritis fisesinger that develops in response to an infection in another part of the body cross-reactivity. Infectious arthropathies Autoimmune diseases Conditions diagnosed by stool test Pustular dermatitis Steroid-responsive inflammatory conditions Syndromes Medical triads Medical mnemonics.
Tests for C-reactive protein and erythrocyte sedimentation rate are non-specific tests that can be reiteer to corroborate the diagnosis of the syndrome. Ureaplasma and mycoplasma are rare causes. Reactive arthritis usually manifests about 1—3 weeks after a known infection. Support Center Support Center. The Journal of Rheumatology. The most common triggers are intestinal infections with SalmonellaShigella or Campylobacter and sexually transmitted infections with Chlamydia trachomatis.
Reactive arthritis may be self-limiting, frequently recurring, chronic or progressive. This is owing to the high frequency of the HLA-B27 gene in legoy white population. List fiessinyer medical eponyms with Nazi associations. Open in a separate window. Arthritis occurring alone following sexual exposure or enteric infection is also known as reactive arthritis. Differential diagnosis The differential diagnosis should include other forms of spondyloarthropathy ankylosing spondylitis, psoriatic arthritis, inflammatory bowel disease-associated spondyloarthropathy, juvenile-onset spondyloarthropathy see these termsand undifferentiated spondyloarthropathy.
fiessinged It most commonly strikes fiessimger aged 20—40 years of age, is more common in men than in women, and more common in white than in black people. It usually appears 1—2 months after the onset of arthritis as in our case.
Recurrent attacks are more common in patients with Chlamydia-induced reactive arthritis. Behcet’s disease simulating secondary syphilis in an HIV-infected patient. On histopathology of skin biopsy, there were marked hyperkeratosis, focal parakeratosis, spongiosis, irregular elongation of rete ridges, and few microabscesses in the reeiter and predominantly perivascular lymphocytic infiltrate in the dermis [ Figure 6 ].
Management and treatment Management aims at eradication of the underlying infection antibiotics and reduction of joint pain and inflammation analgesics, steroids and immunosuppressants, as well as rest, joint protection, and special exercises. Clinical and experimental rheumatology.
Reactive arthritis – Wikipedia
The patient had a history of genital ulceration following an unprotected sexual exposure with a commercial sex worker CSW which was diagnosed as balanitis from a local doctor. Clues to a Timely Diagnosis. Because women may be underdiagnosed, the exact incidence of reactive arthritis is difficult to estimate. In our case, the presentation of the patient with lerroy and stiffness in multiple joints predominantly affecting hip joint and lower limbs with changes of reduced joint space and calcification on radiographic examination, history of genital leroyy and redness in eyes prior to joint involvement, psoriasiform plaques over the body, keratoderma blenorrhagicum over the soles, and circinate balanitis on the glans penis favored the diagnosis of Fiessinger-Leroy’s disease.
[A case of Fiessinger-Leroy-Reiter syndrome. Etiopathogenic, diagnostic and therapeutic problems].
Hypersensitivity and autoimmune diseases Peron bF. The patient had repeated extramarital unprotected sexual exposures with multiple partners, also with CSWs, with duration of 2 years from the last exposure.
A year-old male presented with pain and stiffness in multiple joints, crusted lesions over the trunk, both extremities, palms and soles, and intermittent hematuria for 2 years.
The case is presented with a view to document the occurrence of the same in India. Systemic lupus erythematosus Subacute bacterial endocarditis Rheumatoid arthritis. Retrieved May 16, Reactive arthritis ReA is an autoimmune disorder belonging to the group of seronegative spondyloarthropathies and is characterized by the classic triad of arthritis, urethritis and conjunctivitis. D ICD – You can move this window by clicking on the headline.
Antistreptolysin-O titer and C-reactive protein were positive and rheumatoid factor was negative.