Reiter's syndrome in a five‐year‐old girl

Morse, Harold G.; Rate, Robert G.; Bonnell, Mark D.; Kuberski, Timothy T.

doi:10.1002/art.1780230818

Cited by 4 publications

(1 citation statement)

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“…3 16 19 We observed no child with ReA. Therefore, in agreement with previous studies, ReA seems to be a rare complication of enteritis in children, as observed also in association with Salmonella, 20 Yersinia, 21 and Campylobacter 12 infections.…”

Section: Discussionsupporting

confidence: 86%

Reactive arthritis attributable to Shigella infection: a clinical and epidemiological nationwide study

Hannu

Mattila

Siitonen

et al. 2005

Annals of the Rheumatic Diseases

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Objectives: To study the incidence and clinical picture of Shigella associated reactive arthritis (ReA) and the arthritogenicity of various Shigella species in the population. Methods: A questionnaire on enteric and extraintestinal, especially musculoskeletal, symptoms was sent to 278 consecutive patients with Shigella positive stool culture and to 597 controls. Analysis of self reported musculoskeletal symptoms was supplemented with clinical examination of those subjects with recent symptoms. Results: Of the patients, 14/211 (7%) had ReA, and a further 4/211 (2%) other reactive musculoskeletal symptoms (tendonitis, enthesopathy, or bursitis). Of the 14 patients with ReA, all adults, 10 had S sonnei, three S flexneri, and one S dysenteriae infection. HLA-B27 was positive in 36% of the patients with ReA. One control subject had ReA. In the patients with Shigella infection, the odds ratio for developing ReA was 16.2 (95% confidence interval 2.1 to 123.9), p = 0.001. Conclusions: ReA occurred in 7% of patients after Shigella infection, with an annual incidence of 1.3/ 1 000 000 in Finland. Besides S flexneri, S sonnei and S dysenteriae can also trigger ReA.T he genus Shigella comprises four species: S dysenteriae, S flexneri, S boydii, and S sonnei. In developing countries in general, the most common serogroups are S flexneri, S boydii, and S dysenteriae, whereas in developed countries, the most common is S sonnei and the least common S dysenteriae.

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Section: Discussionsupporting

confidence: 86%

Reactive arthritis attributable to Shigella infection: a clinical and epidemiological nationwide study

Hannu

Mattila

Siitonen

et al. 2005

Annals of the Rheumatic Diseases

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‘Navajo Arthritis’ reconsidered

Rate

Morse

Bonnell

et al. 1980

Arthritis & Rheumatism

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"Navajo arthritis" was described in 1971 as an acute, self-limited, asymmetric polyarthritis of unknown etiology seen in Navajo Indian patients. This description was before published accounts relating HLA-B27 to certain seronegative arthropathies. Review of 92 cases of arthritis seen between 1977 through 1979 in adult Navajo Indians revealed 16 cases of complete Reiter's syndrome, 6 cases of incomplete Reiter's syndrome, and 7 cases of ankylosing spondylitis. The phenotype frequency of HLA-B27 in this Navajo population is 36% and, of the Reiter's syndrome and ankylosing spondylitis patients tested, 85% were found to be HLA-B27 positive. We suggest that "Navajo arthritis" may not be a unique form of arthritis affecting only the Navajo, but a variant of either Reiter's syndrome or ankylosing spondylitis.In 1971, Muggia, Bennahum, and Williams described 21 cases of an acute, self-limited, asymmetric polyarthritis of unknown etiology in Navajo patients (I). The entity was termed "Navajo arthritis" and felt to be a distinct syndrome. Our recent clinical experience

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