性病型赖特综合征二例分析

Reiter′s syndrome of venereal type(including 2 case report)

目的 加强对性病型赖特综合征 (RS)的认识。方法 报告 2例性病型RS并复习文献。结果 总结性病型RS的病因、发病机制、临床表现、诊断及鉴别诊断。结论 性病型RS多为沙眼衣原体、解尿脲原体感染引起的 ,以尿道炎、关节炎、结膜炎为临床特征的疾病。相关的临床表现还有皮肤黏膜、生殖系统、心血管及神经系统损害 ,其发病与遗传易感性HLA B2 7有关。对于性病后出现尿道、关节、结膜、皮肤黏膜损害者应考虑性病型RS。

Objective To further know the Reiter′s syndrome of venerel type.Methods Two patients with Reiter′s syndrome of venereal type were reported and the related literature was reviewed.Results Features of the disease were described in detail,including its etiology,pathogenesis,clinical feature,diagnosis and differential diagnosis.Conclusion Reiter′s syndrome of venereal type is caused by C.trachmatis and U.urealyticum ,etc,infection.It is featured with urethritis,arthritis and conjunctivitis.In addition,the other related clinical features include mucocutaneous,genital system,cardiovascular system and nervous system damages.Its pathogenesis is associated with hereditary susceptibility and HLA B27 antigen.Therefore,the Reiter′s syndrome of venereal type should be considered when urethra,joint,conjunctiva and mucocutaneous damages were expressed after sexually transmitted disease.