Reiter's aortitis with pericardial fluid, heart block and neurologic manifestations.
A man who presented with Reiter's triad and keratoderma blenorrhagicum followed by cardiac manifestations is reported. He developed mild aortic insufficiency, A-V block and pericardial effusion. Painful ophthalmoplegia occurred 5 months later with exacerbation of the cardiac complications as corticosteroids were being tapered. Retreatment with high dose corticosteroids resulted in a remarkable remission of the neurologic complications and stabilization of his cardiac manifestations now maintained for 3 years.
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001018:Aortic Diseases / Q000209:etiology*; D016918:Arthritis, Reactive / Q000150:complications* / Q000188:drug therapy; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D007642:Keratosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D010490:Pericardial Effusion / Q000209:etiology*
D000305:Adrenal Cortex Hormones