The Gonococcal Arthritis-Dermatitis Syndrome
Authors: King K. Holmes, Paul J. Wiesner, Alf H. B. Pedersen
Journal: Annals of Internal Medicine (1971)

Editorial Notes1 September 1971The Gonococcal Arthritis-Dermatitis SyndromeKING K. HOLMES, M.D., PH.D., PAUL J. WIESNER, M.D., ALF H. B. PEDERSEN, M.D., M.P.H.KING K. HOLMES, M.D., PH.D.Search for more papers by this author, PAUL J. WIESNER, M.D.Search for more papers by this author, ALF H. B. PEDERSEN, M.D., M.P.H.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-75-3-470 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe gonococcal carrier state is similar to the meningococcal carrier state, usually producing no systemic symptoms but occasionally complicated by bacteremia and disseminated disease. Four recent clinical studies (1-4) show the increasing frequency with which the commonest manifestation of gonococcemia, an arthritis-dermatitis syndrome, is being recognized. Although the joint manifestations are its most constant feature, characteristic skin lesions were also seen in all of the patients reported by Bjornberg (1) and by Barr and Danielsson (2) and were present in 36 (54%) of 67 patients with gonococcal arthritis, including two thirds of those seen within 5 days after the onset...References1. BJORNBERG A: Benign gonococcal sepsis. Acta Derm Venerol (Stockh) 50:313-316, 1970 MedlineGoogle Scholar2. BARRDANIELSSON JD: Septic gonococcal dermatitis. Brit Med J 1:482-485, 1971 CrossrefMedlineGoogle Scholar3. KEISERRUBENWOLINSKY HFE: Clinical forms of gonococcal arthritis. N Engl J Med 279:234-240, 1968 CrossrefMedlineGoogle Scholar4. HOLMESCOUNTSBEATY KGH: Disseminated gonococcal infection. Ann Intern Med 74:979-993, 1971 LinkGoogle Scholar5. ABU-NASSARHILLFRED HNH: Cutaneous manifestations of gonococcemia. Arch Intern Med 112:731-737, 1963 CrossrefMedlineGoogle Scholar6. MAGNUSSONKJELLANDER BJ: Gonococcal complement-fixation test in complicated and uncomplicated gonorrhea. Br J Vener Dis 41:127-131, 1965 MedlineGoogle Scholar7. PEACOCK W: An automated complement-fixation procedure for detecting antibody to Neisseria gonorrhoeae. HSMHA Health Reports. In press Google Scholar8. PEDERSENBONIN AP: Screening females for asymptomatic gonorrhea infection. Northwest Med 70:255-261, 1971 MedlineGoogle Scholar9. PARISERFARMERMARINO HAA: Asymptomatic gonorrhea in the male. South Med J 57:688-690, 1964 CrossrefMedlineGoogle Scholar10. DANIELSSONMOLIN DL: Demonstration of Neisseria gonorrhoeae in prostatic fluid after treatment of uncomplicated gonorrheal urethritis. Acta Derm Venerol (Stockh) 51:73-76, 1971 MedlineGoogle Scholar11. MOLINDANIELSSON LD: Prostatic reservoir of gonococci. Br Med J 3:767, 1970 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByGonococcal meningitis: An unusual presentation of disseminated gonococcal infectionGenital Skin and Mucous Membrane LesionsGonococcal Infection in WomenNeisseria gonorrhoeae paravertebral abscessGenital Skin and Mucous Membrane LesionsDisseminated Gonococcal Infection in an Immunocompetent Patient Caused by an Imported Neisseria gonorrhoeae Multidrug-Resistant StrainGonococcal Arthritis (Disseminated Gonococcal Infection)Gonococcal Infection in WomenEpidemiological treatment and tests of cure in gonococcal infection: evidence for value.GonorrheaThe classic veneral diseasesGonococcal UrethritisCurrent Uses of the Limulus Amoebocyte Lysate TestGonorrhea 1983Dissemination of gonococcal infection is associated with delayed stimulation of complement-dependent neutrophil chemotaxis in vitroPrevalence of maltose-negative Neisseria meningitidis variants during an epidemic period in SpainGonorrhea and Nongonococcal Urethritis: Recent AdvancesCirculating Immune Complexes in Disseminated Gonorrheal InfectionLESLEY C. WALKER, M.SC., THOMAS D. AHLIN, M.D., KENNETH S. K. TUNG, M.B., B.S., RALPH C. WILLIAMS Jr., M.D.Asymptomatic Gonorrhea in Men: Caused by Gonococci with Unique Nutritional RequirementsBacterial Infections and Venereal DiseasesVenereal Disease in AdolescentsGonococcal Arthritis-Dermatitis (GADS) as a Complication of Gonococcemia in AdolescentsGonococcal arthritis. Clinical features correlated with blood, synovial fluid and genitourinary culturesVenereal Disease in AdolescentsLow Antibiotic Resistance of Gonococci Causing Disseminated InfectionProlonged Meningococcal Septicemia: A Report of Four Cases and a Comparison with Benign Gonococcal SepticemiaAsymptomatic Gonorrhea 1 September 1971Volume 75, Issue 3Page: 470-471KeywordsArthritisBacteremiaLesionsMetastasis Issue Published: 1 September 1971 PDF DownloadLoading ...