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July 1999

Penile Erythematous Eruption in a Man With Diabetes

Arch Dermatol. 1999;135(7):845-850. doi:10-1001/pubs.Arch Dermatol.-ISSN-8503-987x-135-7-dof0799

A shave biopsy specimen from the glans penis revealed parakeratosis and psoriasiform epidermal hyperplasia. There were numerous neutrophils in the epidermis and superficial dermis.

Reiter syndrome was first described in 1818 by Sir Benjamin Broadie.1 However, Hans Reiter's name became permanently associated with the disease after he published a single case of postdysenteric RS in 1916.2 The original syndrome described by Reiter included the classic triad of urethritis, arthritis, and conjunctivitis. Additional criteria for the diagnosis of RS were incorporated by the American Rheumatism Association in 1981.3 These criteria include oligoasymmetric arthritis with a duration greater than 1 month, oral lesions, circinate balanitis, keratoderma blenorrhagica, nail changes, dysentery, and radiographic findings of sacroiliitis and periostitis of heel spurs.2 Cardiovascular and neurological symptoms are rarely present. In the majority of patients, the mucocutaneous lesions are self-limited, whereas arthritis tends to be chronic and relapsing. Approximately 10% to 25% of patients have a chronic and unremitting course.1,2

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