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General
intermediate
X-Type

Reactive Arthritis (Reiter Syndrome) - Clinical Features and Management

Inflammatory Arthropathies

A 28-year-old male presents with a 3-week history of asymmetric oligoarthritis affecting his right knee and left ankle. He had an episode of urethritis 4 weeks ago following unprotected sexual contact. Examination reveals conjunctivitis, circinate balanitis, and keratoderma blennorrhagicum on his soles. Laboratory testing shows negative rheumatoid factor and anti-CCP antibodies. Regarding reactive arthritis (Reiter syndrome):

Mark each as TRUE or FALSE

A

Reactive arthritis is a seronegative spondyloarthropathy characterized by the classic triad of arthr...

B

HLA-B27 is positive in 60-80% of patients with reactive arthritis; its presence is associated with i...

C

Reactive arthritis presents as symmetric polyarthritis of small joints similar to rheumatoid arthrit...

D

Extra-articular features include circinate balanitis (painless penile lesions), keratoderma blennorr...

E

First-line treatment includes NSAIDs for symptom control; intra-articular corticosteroid injections ...

Answer the questions to see explanations

Click T (True) or F (False) for each option