中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (6): 436-438.doi: 10.12144/zgmfskin202306436

• 病例报告 • 上一篇    下一篇

完全型Reiter综合征一例

李锐杰1,郭书婷1,杨美丽2,李刚3,赵一彧2,杨丽颖2,郝勇2,韩慧2   

  1. 1内蒙古科技大学包头医学院，包头， 014040；2包头医学院第二附属医院皮肤科，包头，014030；3包头医学院第二附属医院超声科，包头，014030
  • 出版日期:2023-06-15 发布日期:2023-05-18

Complete Reiter's syndrome: a case report

LI Ruijie1, GUO Shuting1, YANG Meili2, LI Gang3, ZHAO Yiyu2, YANG Liying2, HAO Yong2, HAN Hui2   

  1. 1 Baotou Medical College of Inner Mongolia University of Science and Technology, Baotou 014040, China;2 Department of Dermatology, the Second Affiliated Hospital of Baotou Medical College, Baotou 014030, China;3 Department of Ultrasound, the Second Affiliated Hospital of Baotou Medical College, Baotou 014030,China
  • Online:2023-06-15 Published:2023-05-18

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摘要： Reiter综合征是以尿道炎、结膜炎和反应性关节炎三联征为主要表现的综合性疾病，临床上完全型典型病例较少见，现报道1例46岁男性患者，口腔外阴、黏膜糜烂伴眼结膜充血1周，后出现左足第一跖趾关节肿痛，伴轻微活动受限。皮肤科查体：双眼结膜充血，口腔、外阴糜烂渗出，左足第一跖趾关节肿胀，触压痛明显。辅助检查：HLA-B27（+），关节超声示左足第一跖趾关节低回声，考虑滑膜增生伴积液。诊断完全型Reiter综合征。

关键词: Reiter综合征, 结膜炎, 尿道炎, 反应性关节炎

Abstract: Reiter's syndrome is a comprehensive disease characterized by the triad of urethritis, conjunctivitis and reactive arthritis. A 46-year-old male presented with oral vulva and mucosa erosion and conjunctival hyperemia for 1 week, and then he developed swelling and pain of the first metatarsophalangeal joint of the left foot with slight limitation of movement. Dermatological examination showed conjunctival hyperemia in both eyes, erosive exudation of the oral cavity and vulva, swelling of the first metatarsophalangeal joint of the left foot, and obvious tenderness. Joint ultrasound showed hypoecho of the first metatarsophalangeal joint of the left foot, which was considered to be synovial hyperplasia with effusion. The diagnosis of complete Reiter's syndrome was made.

Key words: Reiter's syndrome, conjunctivitis, urethritis, reactive arthritis