Reactive Arthritis which Occurred One Year After Acute Chlamydial Urethritis
| Autor: | Tetsuya Kuga, Tsuyoshi Watanabe, Katsumi Eguchi, Shunsuke Imadachi, Mitsuhiko Osumi, Soko Sakito, T. Miyashita, Tomohiro Koga, Kiyoshi Migita |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male HLA-B27 Time Factors business.industry Urethritis Balanitis Arthritis Reiter's syndrome General Medicine Chlamydia Infections medicine.disease Arthritis Reactive Anti-Bacterial Agents Dactylitis Acute Disease Immunology Internal Medicine medicine Humans Reactive arthritis Methotrexate business Stomatitis medicine.drug |
| Zdroj: | Internal Medicine. 47:663-666 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.47.0581 |
| Popis: | A 30-year-old Japanese man developed dactylitis with sausage-like fingers in addition to balanitis and stomatitis. One year prior to these symptoms, acute chlamydial urethritis had been successfully treated by levofloxacin. On admission, Chlamydia trachomatis DNA was not detected in the urine sediment by PCR method, however, he was diagnosed to have reactive arthritis based on the clinical findings of asymmetric dactylitis, circinate balanitis, stomatitis and positivity for HLA B27 antigen. He was treated with methotrexate and his arthritis improved. The past chlamydial infection may have been involved in the pathogenesis of reactive arthritis in this patient. |
| Databáze: | OpenAIRE |
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