Rosenberg A M, Petty R E
Am J Dis Child. 1979 Apr;133(4):394-8. doi: 10.1001/archpedi.1979.02130040048011.
Three Canadian Indian boys, aged 2, 14, and 15 years, with features of Reiter's disease (RD) had arthritis occur that was characterized by noticeable tenderness and large effusions. The two youngest also had conjunctivitis and urethritis and thus conformed to the classical triad of RD. The eldest had dysuria and a history suggesting keratoderma blennorrhagica. All had HLA-B27 antigen. Inclusions indicative of chlamydial infection were seen in assays from the two youngest boys. Previously documented cases of childhood RD have been reviewed. More flexible diagnostic criteria may be useful in identifying this class of seronegative arthritis in children.
三名加拿大印第安男孩，年龄分别为2岁、14岁和15岁，患有赖特综合征（RD），出现了以明显压痛和大量积液为特征的关节炎。最年幼的两名男孩还患有结膜炎和尿道炎，因此符合RD的经典三联征。年龄最大的男孩有排尿困难，并有疑似脓性角化病的病史。所有人都有HLA - B27抗原。在最年幼的两名男孩的检测中发现了衣原体感染的迹象。此前已对儿童期RD的记录病例进行了综述。更灵活的诊断标准可能有助于识别儿童中的这类血清阴性关节炎。
