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Complete heart block in Reiter's syndrome
Danish Medical Bulletin
|October 1, 1985
Summary
Reiter's syndrome can rarely cause severe heart problems like complete heart block. Steroid treatment resolved this rare cardiac complication in a patient with this condition.
Area of Science:
- Cardiology
- Rheumatology
- Immunology
Background:
- Reiter's syndrome, now known as reactive arthritis, is a form of inflammatory arthritis.
- Cardiac involvement, particularly complete heart block, is a rare but serious complication.
Observation:
- A 38-year-old male with Human Leukocyte Antigen B27 (HLA-B27) positive reactive arthritis presented with complete atrioventricular heart block.
- This cardiac manifestation is a rare but documented complication of reactive arthritis.
Findings:
- The case highlights a rare instance of severe cardiac conduction abnormality in reactive arthritis.
- The patient's complete atrioventricular heart block resolved following steroid therapy.
Implications:
- This case underscores the importance of monitoring for cardiac complications in patients with reactive arthritis.
- Prompt steroid treatment may effectively manage severe cardiac manifestations like heart block in this syndrome.