Clinical features
Articular: Large joints are usually affected:
- mono- or poly- arthritis: typically affecting the knees, ankles, feet & hands
- sacroiliitis: commonly asymptomatic
- plantar fascitis and tenosynovitis
- heel pain due to calcaneal spur enthesopathy
Urethral:
- venereal non-gonococcal urethritis; not seen in the absence of sexual intercourse
Ocular:
- conjunctivitis: usually bilateral, sterile affecting the lower outer tarsal conjunctivae
- less commonly: episcleritis, iritis - after 1 to 12 months - keratitis, often with corneal ulceration
Dermatologic:
- keratoderma blenorrhagica, circinate balinitis, macules, pustules, nail dystrophy, scales
Systemic:
- fever, malaise, cachexia
Rarely there may be pleurisy or pericarditis.
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