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Reiter's Syndrome. Presented by Dr. Joel Levine.
The patient is a married 40-year-old white laborer. His illness began in October 1964 with fever, sore throat, urethral discharge, and an inflamed right ankle. On admission to the Veterans Administration Hospital, he was in a toxic condition. Significant findings were a swollen and inflamed right ankle, circinate balanitis, mucopurulent urethral discharge, and palatopharyngitis.
Laboratory studies disclosed the following values: hemoglobin, 13 gm/100 cc; white blood cell count (WBC), varied from 12,000 to 15,000; sedimentation, from 22 to 36 mm/hr; antistreptolysin titer (ASL), 500 units. The serum electrophoresis revealed a reduced albumin of 3 gm/ 100 cc and an increased α2-globulin of 1.4 gm/100 cc. Tests which gave negative or normal results included the venereal disease research laboratories test for syphilis (VDRL), latex fixation, C-reactive protein (CRP), febrile agglutinins, renal and
NEW YORK ACADEMY OF MEDICINE. Arch Dermatol. 1966;94(5):666–677. doi:10.1001/archderm.1966.01600290140027
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