title: Reactive arthritis which occurred one year after acute chlamydial urethritis.
abstract: A 30-year-old Japanese man developed dactylitis with sausage-like fingers in addition to balanitis and stomatitis. One year prior to these symptoms, acute chlamydial urethritis had been successfully treated by levofloxacin. On admission, Chlamydia trachomatis DNA was not detected in the urine sediment by PCR method, however, he was diagnosed to have reactive arthritis based on the clinical findings of asymmetric dactylitis, circinate balanitis, stomatitis and positivity for HLA B27 antigen. He was treated with methotrexate and his arthritis improved. The past chlamydial infection may have been involved in the pathogenesis of reactive arthritis in this patient.
authors: Department of General Internal Medicine, NHO National Nagasaki Medical Center, Omura, Japan.
authors: Tomohiro
authors: T
authors: Koga
authors: Taichiro
authors: T
authors: Miyashita
authors: Tsuyoshi
authors: T
authors: Watanabe
authors: Shunsuke
authors: S
authors: Imadachi
authors: Mitsuhiko
authors: M
authors: Osumi
authors: Soko
authors: S
authors: Sakito
authors: Tetsuya
authors: T
authors: Kuga
authors: Katsumi
authors: K
authors: Eguchi
authors: Kiyoshi
authors: K
authors: Migita
mesh_terms: D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016918:Arthritis, Reactive / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D013997:Time Factors; D014526:Urethritis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents