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Three Cases of Reactive Arthritis Secondary to Lymphogranuloma Venereum

Perry, Melissa E. O. MRCP; White, John A. FRCP

JCR: Journal of Clinical Rheumatology: January 2015 - Volume 21 - Issue 1 - p 33–34
doi: 10.1097/RHU.0000000000000204
Case Reports
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We describe 3 cases of sexually acquired reactive arthritis following rectal lymphogranuloma venereum (LGV) infection in London men who have sex with men. While sexually acquired reactive arthritis is well recognized following urogenital Chlamydia trachomatis infections, the association with rectal infection by LGV-associated serovars of C. trachomatis has been seldom reported, and thus the organism might not be sought by clinicians. The recognition of the various clinical syndromes of LGV by all clinicians, including rheumatologists, is essential given the endemicity of LGV in European men who have sex with men.1

From the Genitourinary Medicine, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom.

No funding was received for this study.

The authors declare no conflict of interest.

Correspondence: Melissa E. O. Perry, MRCP, Lloyd Clinic Guys Hospital, Great Maze Pond, London, United Kingdom SE1 5RT. E-mail: melissa.perry@gstt.nhs.uk.

Key message: Sexually acquired reactive arthritis is not just urogenital Chlamydia trachomatis; consider rectal lymphogranuloma venereum in men who have sex with men.

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