Arthritis associated with Venereal Disease : A Comparative Study of Gonococcal Arthritis and Reiter's Syndrome

Polyarthritis in Western Nigeria. 3. Other forms of polyarthritis.

“…Differentiation between these two conditions often proved to be very difficult, but the response to antibiotic therapy was used to separate cases of probable gonococcal polyarthritis from cases of probable Reiter's syndrome. A number of differences were noted between the two groups of patients which are in close agreement with the findings of Wright (1963) in a comparison of the features of patients with gonococcal polyarthritis and Reiter's syndrome admitted to the Johns Hopkins Hospital, U.S.A.…”

Articular and cutaneous manifestations of gonorrhoea. Review of sixteen cases.

“…However, a retrospective study by Wright (1963) of patients seen at the Johns Hopkins Hospital showed that 51 of 152 patients previously thought to have gonococcal arthritis had in fact Reiter's disease, and that very few of these were female. In our patients the sex incidence, the acuteness of the arthritis, the typical skin lesions, and the response to penicillin treatment made confusion unlikely.…”

Aseptic arthritis after gonorrhoea.

“…Most authors have accepted a gonococcal aetiology of joint complications associated with urethral discharge only when Neisseria gonorrhoeae are found in the synovial fluid and/or in the peripheral blood or when there is a dramatic improvement within 2-3 days of penicillin administration (Harkness, 1949;Ford, 1953;Czonka, 1959;Wright, 1963;Brandt et al, 1974). Aseptic penicillin-insensitive arthritis after gonorrhoea has, especially in the Anglo-American literature, been interpreted as a Reiter variant (Ford, 1961).…”