Lee D A, Barker S M, Su W P, Allen G L, Liesegang T J, Ilstrup D M
Ophthalmology. 1986 Mar;93(3):350-6. doi: 10.1016/s0161-6420(86)33747-3.
The histories of 113 patients with Reiter's syndrome were reviewed to obtain information regarding the sequence of the clinical signs and symptoms, laboratory findings, and progression of disease. Rheumatologic manifestations occurred in 98% of the patients, genitourinary manifestations in 74%, ophthalmic manifestations in 58%, and mucocutaneous manifestations in 42%. Four major criteria and six categories of minor criteria for the diagnosis of Reiter's syndrome, based on the frequency and specificity of the various manifestations of the disease, are proposed. The ophthalmic and nonophthalmic features are important to appreciate because the ophthalmologist is frequently at the pivotal point in suggesting or supporting the diagnosis.
回顾了113例赖特综合征患者的病史，以获取有关临床体征和症状的先后顺序、实验室检查结果及疾病进展的信息。98%的患者出现风湿性表现，74%出现泌尿生殖系统表现，58%出现眼部表现，42%出现黏膜皮肤表现。基于该疾病各种表现的发生频率和特异性，提出了赖特综合征诊断的四项主要标准和六类次要标准。眼科和非眼科特征对于明确诊断很重要，因为眼科医生常常在提示或支持诊断方面起着关键作用。
