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Reiter syndrome accompanied by Terry nail
B K Coskun1, Y Saral, P Ozturk
1Department of Dermatology, Faculty of Medicine, Firat University, 23119 Elazig, Turkey.
Summary
This case report details a 32-year-old male with Reiter syndrome (RS) who developed Terry nail, a rare nail abnormality. This association, including subungual keratosis and onycholysis, is unprecedented in medical literature.
Area of Science:
- Rheumatology
- Dermatology
- Ophthalmology
Background:
- Reiter syndrome (RS), now often referred to as reactive arthritis, is a systemic inflammatory condition.
- It characteristically presents with a triad of arthritis, urethritis, and conjunctivitis.
- Nail changes in RS are uncommon, making this case unique.
Observation:
- A 32-year-old male presented with symptoms consistent with complete Reiter syndrome, including urethritis, conjunctivitis, arthritis, and skin lesions.
- He also exhibited subungual keratosis and onycholysis.
- Nine months after the onset of RS symptoms, the patient developed Terry nail.
Findings:
- Clinical diagnosis of Reiter syndrome was established based on characteristic symptoms and elevated inflammatory markers (ESR, CRP).
- Urethritis was confirmed by urinalysis showing leucocytes and erythrocytes, though cultures for Neisseria gonorrhoeae were negative.
- The development of Terry nail in conjunction with established RS and other nail abnormalities is a novel observation.
Implications:
- This case highlights a potential, previously undocumented association between Reiter syndrome and Terry nail.
- It expands the spectrum of nail abnormalities that can occur in patients with reactive arthritis.
- Further research may be warranted to explore the pathomechanisms linking RS and specific nail changes like Terry nail.