Monteiro Rochelle C, Bhat Ramesh M, Sukumar D, Srinath M K
Department of Dermatology, Fr Muller Medical College, Mangalore, Karnataka, India.
Indian J Sex Transm Dis AIDS. 2011 Jul;32(2):121-3. doi: 10.4103/0253-7184.85422.
Reiter's disease is characterized by the triad of peripheral arthritis, urethritis, and conjunctivitis. A 38-year-old male, who was on treatment with lithium for mania, presented to us with all features of this triad. He was previously diagnosed and treated as seronegative arthritis. However, his symptoms persisted despite therapy. His skin lesions regressed only once lithium was stopped. Lithium is known to exacerbate or precipitate a multitude of dermatological conditions. However, there is no previous reported association of lithium exacerbating preexisting Reiter's disease. We report this case as it is the first known association of its kind.
赖特综合征的特征为外周关节炎、尿道炎和结膜炎三联征。一名38岁男性，因躁狂症正在接受锂盐治疗，出现了上述三联征的所有症状。他之前被诊断为血清阴性关节炎并接受了治疗。然而，尽管进行了治疗，他的症状仍持续存在。仅在停用锂盐后，他的皮肤病变才消退。已知锂盐会加重或诱发多种皮肤病。然而，之前没有报道过锂盐会加重既往存在的赖特综合征。我们报告此病例，因为这是首例已知的此类关联。
