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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

PILA PEREZ, Rafael; PILA PELAEZ, Rafael; HOLGUIN PRIETO, Víctor A  and  LOPEZ PELAEZ, Lisel. Reiter’s syndrome: an unfrequent observation. AMC [online]. 2009, vol.13, n.3. ISSN 1025-0255.

Background: Reiter´s syndrome is studied within the reactive arthritis of the spondyloarthropathy group in association with the histocompatibility antigen´s HLA-B27. The term of Reiter´s syndrome is reserved currently for cases with the classic triad of the disease. Objective: To present a typical case of Reiter´s syndrome, which besides the classic presentation developed another non common alterations. Method: The antecedent of sexual intercourses is picked up without protection two months before the clinical presentation. The clinical picture, the antecedents and the laboratory exams fundamentally the positive HLA-B27 antigen, the accelerated globular erythrosedimentation and the culture confirmed the presence of a postvenereal Reiter´s syndrome that was supplemented with the therapeutic answer with indomethacin and tetracycline. Conclusions: The complete Reiter´s syndrome is an unfrequent entity since the classic triad of the disease it is only appreciated in 33% of the cases. This syndrome may simulate many oligoarthritis types, and it constitutes the most common cause of arthropathy in the youth, hence it should always be in mind this syndrome in the differential diagnosis.

Keywords : Reiter´s syndrome; arthritis; Ureaplasma urealyticum.

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