AN EXAMPLE OF A MULTIFACETED APPROACH TO DIAGNOSTICS AND TREATMENT OF UROGENITAL REACTIVE ARTHRITIS (REITER’S DISEASE)

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Abstract

Urogenital reactive arthritis (Reiter's disease) is a  vital interdisciplinary problem due to multiple symptoms of the disease, their appearance at different times, inadequate clinical alertness of specialist, as well as to the necessity of significant efforts both from the part of the doctor and the patient during the process of multifaceted diagnostics. Based on a  clinical case, we demonstrate a classical clinical manifestation of urogenital reactive arthritis that was initially administered incongruent symptomatic treatment resulting only to temporary attenuation of one of the symptoms. We illustrate a comprehensive approach to management, assessment and treatment of the patient based on the causal factor, pathophysiologic characteristics of the disease and immunologic criteria, with the use of immunomorphological skin investigation, photopheresis and lymphotropic therapy.

About the authors

A. V. Molochkov

Moscow Regional Research and Clinical Institute
(MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Email: marina.s.petrova@gmail.com
MD, PhD, Professor, Deputy Director on Science and International Communications Russian Federation

M. S. Petrova

Moscow Regional Research and Clinical Institute
(MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Author for correspondence.
Email: marina.s.petrova@gmail.com
MD, Research Fellow, Dermato- venereology and Dermato-oncology Department Russian Federation

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Copyright (c) 2016 Molochkov A.V., Petrova M.S.

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