Urogenital syndromes and spondarthritis.
During the last 50 years there has been an obvious change in the relationship between Reiter's syndrome and spondarthritis, probably due to the introduction of antibiotics. Postgonorrhoeic prostatovesiculitis was formerly common: Romanus' spondylitics in the 1940s had a history of gonorrhoea in 35% of cases and 50% of my patients with chronic uro-arthritis in the 1950s had had gonorrhoea. Urogenital syndromes nowadays rarely develop into ankylosing spondylitis; on the other hand, sacroiliitis is still a rather common late sequela, especially in females, however often asymptomatic. The HLA-B27 tissue type is much less frequent in the urogenital syndromes than in ankylosing spondylitis. Accordingly one may postulate that patients with HLA-B27 negative sacroiliitis run a small risk that the disease will progress to ankylosing spondylitis.
D000328:Adult; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D016918:Arthritis, Reactive / Q000209:etiology; D001424:Bacterial Infections / Q000150:complications* / Q000188:drug therapy; D002690:Chlamydia Infections / Q000150:complications; D005260:Female; D006069:Gonorrhea / Q000150:complications / Q000188:drug therapy; D006680:HLA Antigens; D015796:HLA-B27 Antigen; D006801:Humans; D008297:Male; D011472:Prostatitis / Q000150:complications; D011859:Radiography; D012488:Salpingitis / Q000150:complications; D013167:Spondylitis, Ankylosing / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D013577:Syndrome; D014526:Urethritis / Q000150:complications / Q000188:drug therapy
D006680:HLA Antigens; D015796:HLA-B27 Antigen