Circinate balanitis, a common manifestation of reactive arthritis, is usually an associated finding seen with the clinical trial of arthritis, conjunctivitis, and urethritis. We hereby report a case of isolated circinate balanitis and its dermoscopic features in an adult patient. The patient responded successfully to treatment with topical tacrolimus 0.1% ointment.
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| http://dx.doi.org/10.4103/ijstd.ijstd_105_24 | DOI Listing |
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Isolated circinate balanitis successfully treated with topical tacrolimus.
Indian J Sex Transm Dis AIDS
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Department of Dermatology and Venereology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Circinate balanitis, a common manifestation of reactive arthritis, is usually an associated finding seen with the clinical trial of arthritis, conjunctivitis, and urethritis. We hereby report a case of isolated circinate balanitis and its dermoscopic features in an adult patient. The patient responded successfully to treatment with topical tacrolimus 0.
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Department of Dermatology, Venereology, Leprology, GMERS Medical College, Sola, Ahmedabad, Gujarat, India.
Circinate balanitis, although a common cutaneous manifestation of reactive arthritis (ReA), is usually an associated finding present along with the triad of arthritis, conjunctivitis, and urethritis. It is rarely seen as the only or the preceding manifestation of ReA. Here, we report three cases of circinate balanitis as stand-alone and initial presentation of probable ReA without any other symptoms of arthritis and conjunctivitis at the time of presentation.
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[Reactive arthritis].
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Klinik für Rheumatologie, Universitätsspital Basel, Schweiz.
Article Synopsis
- - Reactive arthritis is a type of joint inflammation that typically follows a bacterial infection in the gastrointestinal or urogenital tract, appearing about 1 to 4 weeks later, and usually affects the lower limbs asymmetrically.
- - Symptoms can also include inflammation at tendon attachment sites (enthesitis), swelling of fingers or toes (dactylitis), and issues like conjunctivitis and oral ulcers.
- - Treatment starts with antibiotics for the initial infection, followed by nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief, with more serious cases sometimes requiring corticosteroids or immunosuppressive medications. Over half of patients see improvement within a few months.
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