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Summary
This case report details a young man with Reiter's disease who developed reversible myelopathy. The spinal cord symptoms resolved with treatment, suggesting a link between the condition and myelopathy.
Area of Science:
- Neurology
- Rheumatology
- Infectious Diseases
Background:
- Reiter's disease, now known as reactive arthritis, is a form of inflammatory arthritis.
- It typically affects joints, eyes, and the urinary tract, often triggered by infection.
Observation:
- A 21-year-old male presented with fever, polyarthritis, dysuria, and rash.
- Neurologic examination revealed myelopathic changes below the T12 spinal cord level.
Findings:
- The myelopathic changes were observed during the acute phase of the illness.
- These neurologic deficits were no longer evident after 8 weeks of treatment.
Implications:
- This case suggests a potential, previously unreported association between Reiter's disease and myelopathy.
- The reversible nature of the myelopathy highlights the importance of early diagnosis and treatment in managing reactive arthritis complications.