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Exam questionKROK 2Medicine ยท 2023

A 27-year-old man came to a doctor with complaints of pain and swelling in his toes II and III on the left foot, redness of the eyes and purulent discharge from them, and painful urination. Patient history-taking revealed that the patient has several sexual partners and rarely uses condoms. Physical examination revealed bilateral conjunctivitis and dactylitis of the toes. Blood test shows ESR of 40 mm/hour. X-ray of the to detects an increase in the volume of soft tissues and joint space narrowing. What is the most likely diagnosis in this case?

Answer options

  1. Gout
  2. Reactive arthritis
  3. Syphilis
  4. Rheumatoid arthritis
  5. Gonorrhea
Correct answer

Reactive arthritis

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