Question 335 · LDEK · Temporomandibular joint disorders

Traditionally, this syndrome is considered a triad of arthritis, conjunctivitis and urethritis, and it mostly affects men aged 20-30. The other common symptoms include mucocutaneous lesions, cardiac lesions as well as central and peripheral nervous system lesions. As many as 80% of patients may have oral lesions, such as papillas of size 1-10 mm on the lips, gums, buccal mucosa and tongue. If the temporomandibular joint is affected, symptoms are usually acute and asymmetrical, and associated with tenderness, redness and edema of the affected area. This description refers to:

  1. A. Reiter’s syndrome.
  2. B. Lyme disease.
  3. C. Still’s disease.
  4. D. psoriatic arthritis.
  5. E. rheumatoid arthritis.
Hint

Focus on the triad in young men and a post-infectious, HLA-B27-related mechanism.

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