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Reactive arthritis--the appropriate name.

Yoav Keynan1, Doron Rimar

  • 1Department of Medicine, Lady Davis Carmel Medical Center, Technion-lsrael Institute of Technology, Haifa, Israel.

The Israel Medical Association Journal : IMAJ
|June 14, 2008
PubMed
Summary
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The term Reiter syndrome, linked to a Nazi-era doctor, is still widely used despite recommendations to change it to reactive arthritis. This study found its use declining in literature but persisting in Israeli medical education and patient records.

Area of Science:

  • Medical History
  • Rheumatology
  • Medical Ethics

Background:

  • Reiter syndrome, a triad of arthritis, urethritis, and conjunctivitis, is named after Hans Reiter, associated with Nazi medical atrocities.
  • The association with Reiter has led to calls for replacing the eponym with the more accurate term, reactive arthritis.

Purpose of the Study:

  • To investigate the continued use of the eponym Reiter syndrome versus reactive arthritis in Israeli medical literature, education, and patient records.
  • To assess awareness and adherence to recommendations for changing the terminology.

Main Methods:

  • Searched Medline (2003-2007) for usage of both terms.
  • Analyzed 14 medical textbooks, curricula from four Israeli medical schools, and patient files from four healthcare providers.

Related Experiment Videos

  • Compared the frequency of eponym use against the term reactive arthritis.

    • Main Results:

    • Use of Reiter syndrome in medical articles decreased from 18% in 2003 to 9% in 2007.
    • However, most textbooks (13/14) and two medical schools continued to use the eponym.
    • The eponym was present in patient files across all four Israeli healthcare providers.

    Conclusions:

    • The persistent use of Reiter syndrome in Israeli medical institutions and records honors an unethical legacy and contradicts medical principles.
    • There is a lack of awareness regarding the problematic eponym.
    • Recommends discontinuing the use of Reiter syndrome and adopting reactive arthritis universally.