Acitretin and AIDS-related Reiter's disease

P. Blanche

Service of Internal Medicine (Pr D. Sicard), Faculty of Medicine Rene Descartes, Hopital Cochin, Paris, France


ABSTRACT
A patient with AIDS presented with Reiter¼s syndrome. Arthritis and skin lesions responded poorly to non-steroidal anti-inflammatory drugs and topical corticosteroid therapy. Dramatic improvement was seen two weeks after acitretine was added. When Reiter's syndrome recurred 11 months later despite treatment with highly active anti-retroviral drugs and an undetectable plasmatic viral load, acitretin without NSAID or topical treatment was again administered and was rapidly effective.

Key words
Reiter's syndrome, HIV infection, AIDS, acitretin.

Please address correspondence and reprint requests to: Dr. Philippe Blanche, MD, Service of Internal Medicine (Pr D. Sicard), Hopital Cochin, 75679 Paris Cedex 14, France.

Received on May 19, 1998; accepted in revised form on August 28, 1998.

Clin Exp Rheumatol 1999; 17: 105-106.
© Copyright Clinical and Experimental Rheumatology 1999.