Daunt S O, Kotowski K E, O'Reilly A P, Richardson A T
Br J Vener Dis. 1982 Dec;58(6):405-7. doi: 10.1136/sti.58.6.405.
In a case of acute Reiter's syndrome with severe vulvitis the diagnosis was based on the presence of a vaginal discharge and dysuria, arthritis, conjunctivitis, buccal ulceration, keratodermia blenorrhagica, and HLA B27 tissue-typing antigen. The vulval lesions were similar in appearance to those of circinate vulvitis. The acute histological change were confined to shallow ulceration with an inflammatory infiltration of the subjacent dermis. Coincidential lichen sclerosus et atrophicus was present, which could have been masked by the acute lesions.
在一例伴有严重外阴炎的急性赖特综合征病例中，诊断依据为存在阴道分泌物、排尿困难、关节炎、结膜炎、口腔溃疡、脓性皮肤角化病以及HLA B27组织分型抗原。外阴病变在外观上与环状外阴炎的病变相似。急性组织学改变局限于浅表溃疡，其下方真皮有炎症浸润。同时存在硬化性萎缩性苔藓，可能被急性病变掩盖。
