Incomplete Reiter's syndrome with focal involvement of the posterior segment.
OBJECTIVE
To describe an unusual variant of Yersinia-induced, HLA-B27 associated incomplete Reiter's syndrome with focal involvement of the posterior segment.


METHODS
Review of case records of a patient presenting with incomplete Reiter's syndrome which included a reactive arthritis with keratoconjunctivitis and anterior uveitis.


RESULTS
The uveitis progressed to involve the posterior segment with a vitritis and two transient white retinal spots. After resolving, a retinal pigment epithelial (RPE) defect persisted at the site of one of the lesions.


CONCLUSIONS
While involvement of the anterior segment of the globe in Reiter's disease is well recognised, a review of the literature reveals that focal posterior involvement is a rare feature in either Reiter's syndrome or the reactive arthritis group.
Conway
R M
RM
University Department of Clinical Ophthalmology, Sydney Eye Hospital, Woolloomooloo, NSW.
Graham
S L
SL
Lassere
M
M
D000328:Adult; D000907:Antibodies, Bacterial / Q000032:analysis; D016918:Arthritis, Reactive / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D015818:Eye Infections, Bacterial; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D015796:HLA-B27 Antigen / Q000032:analysis; D006801:Humans; D007637:Keratoconjunctivitis / Q000188:drug therapy / Q000209:etiology; D008297:Male; D011241:Prednisone / Q000627:therapeutic use; D012164:Retinal Diseases / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013577:Syndrome; D014606:Uveitis, Anterior / Q000188:drug therapy / Q000209:etiology; D015009:Yersinia Infections; D015008:Yersinia enterocolitica / Q000276:immunology*
D000907:Antibodies, Bacterial; D015796:HLA-B27 Antigen; D011241:Prednisone