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July 1988

Reiter's Syndrome

Author Affiliations

Department of Dermatology and Cutaneous Surgery University of Miami School of Medicine PO Box 016250 (R-250) Miami, FL 33101

Arch Dermatol. 1988;124(7):1007-1009. doi:10.1001/archderm.1988.01670070009003

To the Editor.—  We recently encountered a patient with Reiter's syndrome and acquired immunodeficiency syndrome (AIDS)-related complex (ARC), and describe the successful treatment of his cutaneous disease with etretinate.

Report of a Case.—  A 42-year-old man was hospitalized because of severe joint pains and swelling. He had consorted frequently with prostitutes, but denied intravenous drug use or homosexual activity. He had noted a 22.7-kg weight loss over eight months, and a white penile discharge. He also noted enlarging red lesions over both lower legs, intermittent diarrhea and fever, and swelling of both knees and ankles. He denied burning and itching of his eyes.On examination, his temperature was 38.5°C. He appeared cachectic. Both knees were markedly swollen. Examination of his skin revealed pinpoint hemorrhagic papules, and thick, dark red plaques, with mounds of gray scale on his lower extremities (Fig 1). Similar, but smaller, lesions were noted on his arms,

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