Concurrence of Sjogren's Syndrome in a Patient with Chlamydia-induced Reactive Arthritis: An Unusual Finding.
10.3904/kjim.2006.21.2.116
- Author:
Hyun Kyu CHANG
1
;
Ki Tae BANG
;
Bo Han LEE
;
Jung Hyuk KIM
;
Kang Woo BAE
;
Myong Jin KIM
;
Seong Kyu KIM
Author Information
1. Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea. kimsk714@empal.com
- Publication Type:Case Report
- Keywords:
Reactive arthritis;
Sjogren's syndrome
- MeSH:
Sjogren's Syndrome/*complications;
Male;
Humans;
*Chlamydia trachomatis;
Chlamydia Infections/*complications;
Arthritis, Reactive/*complications;
Antibodies, Antinuclear/blood;
Adult
- From:The Korean Journal of Internal Medicine
2006;21(2):116-119
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 40-year-old Korean man presented with painful swelling and tenderness of both ankle joints as well as the plantar surfaces of both feet, along with inflammatory back pain, and a purulent discharge from the urethral orifice. The patient also complained of sicca-like symptoms including dry eyes and dry mouth. An immunological analysis revealed a high titer of rheumatoid factor, positive results for antinuclear antibody and anti-Ro antibody, and a positive result for HLA-B27. An antibody titer for Chlamydia was also significantly increased. Positive results of the Schirmer's test and for keratoconjunctivitis sicca were confirmed by an ophthalmologist. These clinical manifestations were compatible with Chlamydia-induced reactive arthritis (ReA) accompanied by Sjogren's syndrome (SS). This is the first report of the combination of these two distinct disease entities in the Korean population.
