Случай постэнтероколитического реактивного артрита (синдрома Рейтера)

Reactive arthritis is an autoimmune disease from the  group  of  seronegative  arthritis  known  as spondyloarthropathy.  Two  types  of  the  disease are  designated  by  this  term,  namely  post-enter- itic  (Reiter's  syndrome)  and  venereal  (urogenital) (Reiter's  disease).  Irrespective  of  the  infectious agent,  both  types  of  the  disorder  can  be  associated  with  various  symptoms  including  skin  and mucosal lesions and heart. However, the post-enteritic  type  of  reactive  arthritis  is  associated  also with  intestinal  problems  and  the  venereal  one (mostly  being  of  chlamydial  origin),  –  with  gen- itourinary  disorders.  Due  to  highly  variable  clinical  manifestations  of  reactive  arthritis,  patients frequently  receive  only  symptomatic  treatment that  temporarily  eliminates  some  symptoms.  We describe a clinical example of diagnostic approach to this complex disease, that allowed for putting the  defnite  diagnosis  and  perform  diferential diagnosis  with  other  similar  disorders  including urogenital  reactive  arthritis.  This  paper  could  be of interest for practitioners in various specialties, frst, for dermatovenereologists, rheumatologists, gastroenterologists,  internists  and  rehabilitation specialists.