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Abstract: . . . HLA-B27 was ordered because of the concern that this was Reiters syndrome; the test result was negative. ¦ DIAGNOSIS : REITER S SYNDROME This patient was diagnosed with Reiters syndrome, based on her clinical syndrome of conjunctivitis , arthralgias, mucositis, and cervicitis. The widespread distribution of the symptoms in this syndrome may be due to activation of the immune system by a viral or bacterial agent. 6,7 The fact that her HLA-B27 test result was negative did not change this diagnosis; . . . . . . otitis media? Donepezil minimally effective in patients with vascular dementia Geranium extract improves bronchitis symptoms Epinephrine is efficacious for outpatient bronchiolitis treatment, questionable for inpatient First-trimester tests for trisomies 21 and 18 as sensitive as second-trimester "triple screen" Three-year interval between Pap smears adequate in women with prior negative results FAMILY PRACTICE THE JOURNAL OF THE JOURNAL OF . . . . . . syndrome is debated because of the protean nature of its symptoms, as well as a lack of consensus in defining the syndrome. The numbers of cases of Reiters syndrome caused from C trachomatis genitourinary infections are equally difficult to document. In some reports, silent cystitis and cervicitis without urethritis may be the only evidence of urogenital involvement . 5 Page 3 P H O T O R O U N D S FEBRUARY 2004 / VOL 53, NO 2 · The Journal of Family Practice 123 The authors have no conflicts of interest to report. . . . --1916,3,319,2083,9582
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