- Reiters Syndrome consists of nongonoccal arthritis, and conjunctivitis, often following a GU or GI infection.
- Patients often present only with a diad of symptoms, so called incomplete Reiters Syndrome.
- The arthritis of Reiters is classically asymmetric lower extremity arthritis with a prominent enthesopathy that produces the classic sausage digits appearing one to three weeks after the inciting GI or GU infection.
- Chlamydia, Yersinia, Campylobacter, Shigella, and Salmonella have been associated with this syndrome.
- Two characteristic lesions of the penis Keratoderma blenorrhagica and Balanitis circinata are diagnostic for Reiters.
- Radiologic finding include soft tissue swelling, preservation of bone calcium, sacroiliitis, linear periostitis. No laboratory finding is helpful.
1. NSAIDs or COX-2 inhibitors. Short course of corticosteroids.
2. Physical therapy.
4. Eradication of chlamydia infection may be helpful.
5. Methotrexate, azathioprine, and corticosteroid therapy are limited to refractory disease.