Which of the following is not a primary cutaneous disorder? (AIIMS May 2013)
Reiter disease (Triad of conjutivitis , urethritis and arthritis)
1). The reason is because the skin lesion that are seen are secondary skin lesion .it is not related to the aetiology.
2). Psorisis and Bowens : Pr lesion is a plaque .
3). L planus : papule .
4). Reiters : Circinate balanitis , keratoderma blenorrhagicum. (secondary skin lesions)
Extra Edge Points About Reiter’s Disease
Definition-It is characterised by a triad of
1). Seronegative oligoarthritis Q,
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
Arteriogenic Bacteria in Reactive Arthritis (AIIMS Nov 2008)
1). Salmonella 2). Shigella 3). Campylobacter 4). Yersinia 5). Chlamydia.
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 circinate balanitis. (AIPG 2006)
3). The presence of rash of keratoderma blennorrhagica (AIIMS Nov 2008) is diagnostic of Reiter’s disease in the absence of classical triad.
4). Ocular involvement (mild bilateral conjunctivitis)
2). Local corticosteroids are useful in the case of iritis
3). The nonspecific urethritis is treated with a short course of Tetracycline.