[Ocular findings in infection-linked immune phenomena and secondary diseases (the so-called Reiter's syndrome)].
Between 1981 and 1987 the authors saw 12 patients with Reiter's syndrome. Lesions included 6 cases of bilateral conjunctivitis in patients with chlamydial infection, 3 of unilateral serofibrinous iridocyclitis in patients with Yersinia enterocolitica, 1 case of bilateral iridocyclitis in a patient with positive chlamydial complement-binding reaction, 1 case of bilateral follicular conjunctivitis following acute gonococcal urethritis, and one case of unilateral serofibrinous iridocyclitis, in a patient with Ureaplasma urealyticum. Immunohistologic work-up of the conjunctival biopsy from the patient with Urea-plasma urealyticum urethritis revealed IgM deposits in the vascular endothelium of conjunctival vessels, C-3 deposits in the conjunctival stroma, and intercellular IgG in the conjunctival epithelium. Since Reiter's syndrome is interpreted as a sequela of secondary immune diseases following a primary infection that may persist in HLA-B27-positive patients, the patients were treated with both topical and systemic anti-infectious and anti-inflammatory agents.
Bialasiewic
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Augenklinik mit Poliklinik der Friedrich Alexander Universität Erlangen-Nürnberg.
Holbach
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D000328:Adult; D016918:Arthritis, Reactive / Q000150:complications / Q000175:diagnosis* / Q000276:immunology; D002648:Child; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis / Q000276:immunology; D002692:Chlamydia trachomatis; D002691:Chlamydophila psittaci; D003234:Conjunctivitis, Bacterial / Q000175:diagnosis* / Q000209:etiology / Q000276:immunology; D006069:Gonorrhea / Q000150:complications / Q000175:diagnosis / Q000276:immunology; D015796:HLA-B27 Antigen / Q000032:analysis; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007075:Immunoglobulin M / Q000032:analysis; D015863:Iridocyclitis / Q000175:diagnosis* / Q000209:etiology / Q000276:immunology; D008297:Male; D009180:Mycoplasmatales Infections / Q000150:complications / Q000175:diagnosis / Q000276:immunology; D014509:Ureaplasma; D015009:Yersinia Infections / Q000150:complications / Q000175:diagnosis / Q000276:immunology; D015008:Yersinia enterocolitica
D015796:HLA-B27 Antigen; D007074:Immunoglobulin G; D007075:Immunoglobulin M
Okuläre Befunde bei infektionsassoziierten Immunphänomenen und Nachkrankheiten (sog. "Reiter-Syndrome").