Loading....
Coupon Accepted Successfully!

Medicine

Open Flashcards

Rheumatology

Question
17 out of 20
 

Keratodermablennorrhagica is seen in? (LQ)



A Scleroderma
B Kawasaki disease

C Reiter’s disease
D Psoriasis

Ans. C Reiter’s disease

Reiter’s Disease (FAQ) (H-18thPg- 2778)

Definition-It is characterised by a triad of

1. Seronegativeoligoarthritis Q,

2. Conjunctivitis

3. Nonspecific urethritis, 1 – 3 weeks following bacterial dysentery or exposure to sexually transmitted disease.

Arthritis occurring alone following sexual exposure or enteric infection is known as reactive arthritis.

Reiter disease can occur in epidemic form (FAQ)

Etiology-

Bacteria causing Reactive Arthritis (AIIMS Nov 2008)

1. Salmonella 2. Shigella 3.Campylobacter 4.Yersinia 5.Chlamydia.

Note: Shigella is the most common organism causing Reiter’s disease following diarrhea.

(H-18thPg- 2778)

Chlamydia Trachomatis is the most common cause of reactive arthritis following urethritis.

Ureaplasma and mycoplasma are rare causes.

Clinical Features

1. It presents with monoarthritis of a knee or an asymmetrical inflammatory arthritis of interphalangeal joints.

2. Patient can have heel pain, Achilles tendinitis or plantar fasciitis with presence of circinatebalanitis.(AIPG 2006)

3. The presence of rash of keratodermablennorrhagica (AIIMS Nov 2008) is diagnostic of Reiter’s disease in the absence of classical triad.

4. Ocular involvement (mild bilateral conjunctivitis)

5. Dactylitis, or "sausage digit," a diffuse swelling of a solitary finger or toe, is a distinctive feature of ReA and other peripheral spondylarthritides but can be seen in polyarticular gout and sarcoidosis.

6. Oral ulcers can be there.

Extra Edge: Subcutaneus nodules is not a feature

Treatment

1. Analgesics

2. Local corticosteroids are useful in the case of iritis

3. The nonspecific urethritis is treated with a short course of Tetracycline.

Psoriatic Arthritis (H-18thPg- 2780)

Rheumatology Flashcard List

20 flashcards
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
14)
15)
16)
17)
18)
19)
20)