What are findings of circinate vulvitis in patients with reactive arthritis (ReA)?

Updated: Dec 24, 2020
  • Author: Carlos J Lozada, MD; Chief Editor: Herbert S Diamond, MD  more...
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Circinate vulvitis is reported in women. Balanitis and vulvitis are rare in children; when they occur, they are suggestive of ReA. [78]

Prostatitis, cystitis, and pyelonephritis are rare but possible urogenital manifestations of reactive arthritis. Bartholinitis can be present in women. Proctitis caused by Chlamydia species can occur in both sexes after anal intercourse.

Urethritis is difficult to diagnose in children but is present in 30% of pediatric patients at onset. Obtaining a history of dysuria from children is difficult, possibly because the urinary abnormality is mild or absent. In patients with painless discharge, staining of the underpants may be evident. The recommended procedure is to obtain a detailed history and perform a careful clinical evaluation for urethritis, searching for pyuria, meatal inflammation, and small perimeatal ulcerations.

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