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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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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