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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is prolonged balanitis normal after chlamydia and arthritis?

Just under two years ago I contracted Chlamydia which then resulted in reactive arthritis. I had the typical symptoms of swollen joints and also circinate balanitis. Within ten months or so all symptoms had ceased with the exception of the balanitis. It is treated successfully with a cortisone cream but I've read that prolonged use can actually make the condition worse. Is a prolonged period of balanitis normal after chlamydia caused reactive arthritis? Are there other more effective meds available. Are there other causes, bacterial or fungal, that might be causing this? Any help is appreciated.
Wed, 25 Jul 2018
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Internal Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Yes, it is possible that chlamydia cause reactive arthritis.

Reiter’s syndrome characterized by urethritis, arthritis and conjunctivitis triad.

It is an abnormal immune response. The initial illness typically resolves in 3-4 months, however 50% of patients experience reoccurence of symptoms and components of the syndrome over a period of years. Joint deformity and ankylosis as well as sacroiliitis and spondylititis may occur with chronic or recurrent RS.

Need to take antibiotics, corticosteroid, NSAIDS, DMARDS and biological therapies under your doctor guidance.

Yes, it is possible that chronic balanitis in Reiter’s syndrome.

Take care.
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