A 30-year-old male presented with pain and swelling of the knee and the ankle joint of the right side especially at the inseion sites along with burning and pain sensation during micturition, urethral discharge, fever for 2 weeks. Patient also gave a history of multiple episodes of bloody diarrhea 1 week back. O/E. B/L conjunctivitis with oral ulcers Plantar fasciitis Onycholysis and distal yellow discoloration of nails X- ray pelvis with B/L hip was normal. Lab findings revealed raised ESR and other acute phase reactants along with mild anemia and increased HLA B27 titers. Joint aspirate was sterile.