Reiter's Syndrome and Aortic Insufficiency

Rodnan, Gerald P.; Benedek, Thomas G.; Shaver, James A.; Fennell, Robert H.

doi:10.1001/jama.1964.03070120011002

Cited by 33 publications

(8 citation statements)

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“…Lesions similar to those of ankylosing spondylitis in the aorta and aortic valve have been noted in patients with Reiter's syndrome (13,14,16); no giant cells were reported. There are also reports of aortitis and aortic insufficiency in psoriatic arthritis and inflammatory bowel disease (16).…”

Section: Discussionmentioning

confidence: 81%

“…One can see a thickened and dilated aorta in ankylosing spondylitis, as well as aortic insufficiency with shortened, thickened aortic valve cusps (12). Mitral regurgitation is less common and rarely severe (12)(13)(14)(15). However, histologically one seens intimal proliferation and adventitial scarring in the aorta, and while lymphocytes and plasma cells may appear, there are no giant cells (12).…”

Section: Discussionmentioning

confidence: 99%

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Severe giant cell valvulitis in a patient with reiter's syndrome

Podell

Wallace

Fishbein

et al. 1982

Arthritis & Rheumatism

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Severe giant cell valvulitis in a patient with reiter's syndrome

Podell

Wallace

Fishbein

et al. 1982

Arthritis & Rheumatism

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“…of cases as polyneuritis, shoulder girdle neuritis, transient hemiplegia, or meningoencephalitis (Oates and Hancock, 1959;Catterall, Rooney, and Kirby, 1965). Cardiovascular abnormalities include varying degrees of heartblock, myocarditis, and, in severe recurrent disease, aortic incompetence (Csonka, Litchfield, Oates, and Willcox, 1961;Rodnan, Benedek, Shaver, and Fennell, 1964). Many other manifestations are reported, such as lymph node, spleen, and salivary gland involvement, pleurisy, and discrete pulmonary infiltration.…”

Section: Discussionmentioning

confidence: 99%

Reiter's syndrome with parotitis in the female. A case report.

Reckless¹

1972

Sexually Transmitted Infections

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Reiter's syndrome most frequently presents with abacterial urethritis, conjunctivitis, and polyarthritis. It is of uncertain aetiology and occurs either as a sequel to venereally transmitted urogenital infection or after dysentery. The syndrome is much more common in the male (97 per cent of Csonka's series of 300 cases reported in 1966) though greater difficulties of diagnosis in the female may contribute to this difference. Parotitis is mentioned only rarely as part of the dysenteric syndrome, and does not appear to have been reported in the venereal type or in the female; such an occurrence prompts this communication.Case report A 27-year-old woman had noted urethral irritation, slight dysuria, and increased frequency of micturition for 5 weeks, which had failed to respond to courses of nitrofurantoin and ampicillin, and 6 days before admission blurred vision and sore, sticky eyes with purulent discharge had been treated with chloramphenicol drops without improvement.For 3 days stiffness had been marked in the right knee, right second toe interphalangeal joint, left ankle, and left middle finger metacarpophalangeal and proximal interphalangeal joints. Right facial swelling had also been noted for 3 days.The patient had had a regular consort for the previous 3 years, during which time she had taken oral contraceptives. ExaminationTemperature was raised to 38°C. There was bilateral purulent conjunctivitis, and a non-tender, non-fluctuant right parotid swelling without discharge. There were no buccal or skin lesions. The joints involved were painful with reduced power and range of movement, and there was local tenderness, erythema, and raised temperature. The respiratory and cardiovascular systems were normal, and there was no lymphadenopathy or hepatosplenomegaly.Received for publication August 6, 1971

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“…All major manifestations described in adult cases have been observed in children, but not some rare manifestations such as carditis and valvulitis (4,18), pleuritis (4). neuritis (4) and nephritis (4).…”

Section: Discussionmentioning

confidence: 99%