A Case of Reiter's Syndrome / 대한피부과학회지
Korean Journal of Dermatology
; : 112-117, 1986.
Article
en Ko
| WPRIM
| ID: wpr-157327
Biblioteca responsable:
WPRO
ABSTRACT
We presented a case of Reiters syndrome consisting of conjunctivitis, arthritis, and skin lesions, occurring in 20-year-o1d male. He had neither an episode of dysentery nor a history of sexual exposure before onset of syndrome. The skin lesions had begun with erythernatous scaly patches on the inguinal region and scalp, and later followed by generalized pustular, psoriasiform and/or hyperkeratotic crusted lesions on the erythematous base. Yellowish discoloration and onycholysis of nails and shallow ulcer of glans penis were observed. Arthritis of the knee and shoulder joints were developed, accompanied by pain, swelling, limited motion, wasting and weakness of both lower extremities. In laboratory investigation, urinalysis, stool examination for parasites and occult blood, renal function test, blood VDRL, and X-ray of chest, both knee. joints, shoulder joint and thoracolumbar spine were within normal limit or negative except for leukocytosis(24, 500/mm), increased ESR(90 mm/hr) and hypoalbuminemia(2.6 g/dl), and he was associated with HLA-A3, A 9, B5, and Rw 49 Histopathologically skin biopsy specimen showed extensive hyperkeratosis, paralceratosis, elongated rete ridges, spongiform macropustule of Kogoj. He was treated effectively with antibiotics, corticosteroid, and methotrexate for two months without recurrence till now.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Parásitos
/
Pene
/
Artritis
/
Recurrencia
/
Cuero Cabelludo
/
Articulación del Hombro
/
Piel
/
Columna Vertebral
/
Tórax
/
Úlcera
Límite:
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Dermatology
Año:
1986
Tipo del documento:
Article