Looking for online definition of Fiessinger-Leroy-Reiter syndrome in the Medical Dictionary? Fiessinger-Leroy-Reiter syndrome explanation free. What is. Download Citation on ResearchGate | Fiessinger Leroy Reiter syndrome | Whether it follows an attack of diarrhea or a venereal infection, the. Annales de Dermatologie et de Vénéréologie – Vol. – N° 5 – p. – Arthrite réactionnelle (syndrome de Fiessinger-Leroy-Reiter) – EM|consulte.

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Reactive arthritis

The documents contained in this web site are presented for information purposes only. In our case, the differential diagnoses considered were pustular psoriasis, secondary syphilis, and Behcet’s disease.

The patient had a history of genital ulceration following an unprotected sexual exposure with a commercial sex worker CSW which was diagnosed as balanitis from a local doctor. Reactive arthritis usually manifests about 1—3 weeks after a known infection. Age of onset varies widely, but there is a peak between 15 and 35 years of age. Clinical description Age of onset varies widely, but there is a peak between 15 and 35 years of age.

Conflicts of interest There are no conflicts of interest. The Journal of Rheumatology. Personal information regarding our website’s visitors, including their identity, is confidential. Reactive arthritis is an RF-seronegativeHLA-B27 -linked arthritis [6] often precipitated by genitourinary or gastrointestinal infections.

A large number of cases during World Wars I and II focused attention on the triad of arthritis, urethritis, and conjunctivitis often with additional mucocutaneous lesionswhich at that time was also referred to as Fiessenger-Leroy-Reiter syndrome.

Furthermore, he was not the first physician to make associations between the arthritis and other symptoms: In other projects Wikimedia Commons. Arthritis occurring alone following sexual exposure or enteric infection is also known as reactive arthritis. Nail examination revealed coarse pitting, yellowish discoloration, transverse ridges, subungual hyperkeratosis, friability, and dystrophy [ Figure 5 ]. The clinical pattern of reactive arthritis commonly consists of an inflammation of fewer than five joints which often includes the knee or sacroiliac joint.


D ICD – Based on the history, clinical examination, and investigations, it was diagnosed as a case of Fiessinger-Leroy’s disease. Bhalani Publishing House; Retrieved 29 July On examination, the patient was a thin-built middle-aged man.

CASE REPORT A year-old male presented with pain and stiffness in multiple joints, crusted lesions over the trunk, both extremities, palms and soles, and intermittent hematuria for 2 years.

Heberden’s node Bouchard’s nodes.

Reiter syndrome

Pereira da Silva, Anthony D. The most common triggering infection in the US is a genital infection with Chlamydia trachomatis. Tests for C-reactive protein and erythrocyte sedimentation rate are non-specific tests that can be done to corroborate the diagnosis of the syndrome. If you are a subscriber, please sign lrroy ‘My Riter at the top right of the screen.

We report a case of Fiessinger-Leroy’s disease with an unusual rheumatoid-like articular presentation. Access to the full text of this article requires a subscription. Clinical and Experimental Rheumatology.

Madavamurthy P, Hanish VB. Clinical and experimental rheumatology. There was a history of reitef in the lesions and joint pain with ongoing treatment, but the lesions again flared up with self-stoppage of treatment for 6 months. Foreign Atopic eczema Allergic urticaria Allergic rhinitis Hay fever Allergic asthma Anaphylaxis Food allergy common allergies include: Most frequent presentation is nondestructive acute oligoarthritis of large lower limb joints an average of leryo joints are affected.

Please review our privacy policy. Episode of arthritis of more than 1 month and either urethritis or cervicitis, or bilateral conjunctivitis.


Repeated attacks over many years are common, and patients sometimes end up with chronic and disabling arthritisheart diseaseamyloid deposits, ankylosing spondylitisimmunoglobulin A nephropathycardiac conduction abnormalities, or aortitis with aortic regurgitation.

Macular degeneration in a case of Reiter’s disease. A blood test for the genetic marker HLA-B27 may leeoy be performed. Prognosis Prognosis is variable. National Center for Biotechnology InformationU.

Differential diagnosis The differential diagnosis should include other forms of spondyloarthropathy ankylosing spondylitis, psoriatic arthritis, inflammatory bowel disease-associated spondyloarthropathy, juvenile-onset spondyloarthropathy see these termsand undifferentiated spondyloarthropathy. Color atlas and synopsis of lsroy transmitted diseases, Volume Diagnosing Fiessinger-Leroy’s disease can be difficult because of the great variation of the clinical features and because the classical triad is present in only one-third of the patients.

When reactive arthritis appears in a triad that also includes ophthalmic fieesinger urogenital manifestations, the eponym “Reiter’s syndrome” was often applied; German physician Hans Conrad Julius Reitera physician and leader of fiesslnger Nazi party, described the condition in a soldier he treated during World War I.

The disease is more common in men and is more frequently reported in whites.

Reactive arthritis – Wikipedia

Bonnel aL. Clues to a Timely Diagnosis. The double life of Hans Reiter — “. Urine routine examination, blood sugar level, renal function test, and liver function test were within normal limits.

The main goal of treatment is to identify and eradicate the underlying infectious source with the appropriate antibiotics if still present.