LESSON 2: PART 2 - SJOGRENS DISEASE, REITERS DISEASE

• Dryness of eyes, mouth, and vagina

• Vaginismus in females

• Keratoconjuctivitis sicca

• Lympadenopathy

• Xerostamia

• Arthritis

• Dyspareunia

CLINICAL MANIFESTATION: SJOGRENS DISEASE

Xerostamia

dryness of mouth

Keratoconjuctivitis sicca

dryness of eyes

• SCHIRMERS TEST

• ROSE BENGAL TEST

SJOGRENS DISEASE: LABORATORY EXAMINATIONS

DYSPAREUNIA

It is lasting or recurrent genital pain that occurs just before, during or after sex.

SCHIRMERS TEST

to see if your tear glands are producing enough tears to keep your eyes moist.

SCHIRMERS TEST

The test is performed by placing filter paper inside the lower lid of the eye. After 5 minutes, the paper is removed and tested for its moisture content.

ROSE BENGAL TEST

evaluates the integrity and stability of the mucin layer of the precorneal tear film.

ROSE BENGAL TEST

It is a red dye that stains damaged or devitalized epithelium, mucus and stroma following disruption or instability of the mucin layer of the tear film.

reactive arthritis

Reiter’s disease Also called as?

Reiter’s disease

A form of peripheral arthritis, often accompanied by one or more extra articular manifestation after infection.

• POST ENTERIC

• POST VENEREAL

• (+) HLA B-27

ETIOLOGY: REITERS DISEASE

9:1

EPIDEMIOLOGY: REITERS DISEASE

if generally acquired

1:1

EPIDEMIOLOGY: REITERS DISEASE

if enterically acquired

• URETHRITIS

• CONJUNCTIVITIS

• ARTHRITIS

CLINICAL MANIFESTATION: REITERS DISEASE

• MILD DYSURIA

• OCASSIONALY PROSTATIS

• EPIDYMITIS

CLINICAL MANIFESTATION (MALE): REITERS DISEASE

• DYSURIA

• VAGINAL DISCHARGE

• VAGINITIS

CLINICAL MANIFESTATION (FEMALE): REITERS DISEASE

URETHRITIS

1^st manifestation occurs in both post venereal and post enterical

CONJUNCTIVITIS

2^nd manifestation occurs in both post venereal and post enterical

ARTHRITIS

Appears last in both post venereal and post enterical