title: Profile of Reiter's disease in Saudi Arabia.
abstract: We studied the clinical features of cases of Reiter's disease as seen in two tertiary care hospitals in Riyadh, Saudi Arabia, over a period of 9 years. We gathered 34 cases, 29 (85%) males and 5 (15%) females (M:F ratio 5.8:1). The mean age of onset was 29.4 (SD 6.4) years. Gastrointestinal and genitourinary infection were elicited in 24 patients (71%). Fever occurred in 6 patients (18%), fatigue in 13 (38%) and conjunctivitis in 13 (38%). Lower limb large joints were affected at presentation in 23 patients (68%), followed by combined presentation of peripheral joints and axial joints in 10 patients (30%). Sacroilitis was seen in 5 cases (15%). One patient had spondylitis, while enthesopathy was seen in 6 patients (18%). Bone scintigraphy was done in 14 patients, 11 of which were positive at peripheral joints, while 9 showed increased uptake at the sacroiliac joints. HLA B27 status was tested in 15 patients, 4 (27%) of which were positive.
authors.affiliation: Rheumatology Division, Department of Medicine, King Khalid University Hospital, P.O. Box 34471, Riyadh 11468, Saudi Arabia.
authors.forename: A
authors.initials: A
authors.lastname: al-Arfaj
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D018912:Arabs; D016918:Arthritis, Reactive / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D015796:HLA-B27 Antigen / Q000032:analysis; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D012529:Saudi Arabia / Q000453:epidemiology; D012720:Severity of Illness Index; D017678:Sex Distribution
chemical_list: D015796:HLA-B27 Antigen