Monthly swelling of the knee — Case report and review of the literature

Jelsma J, Jetse Jelsma, Alistair Mayne, Mayne A, Bjorn Steffanie, Steffanie B
The Knee · 2016 · vol. 23(3) , pp. 559–560 · doi:10.1016/j.knee.2016.01.010 · PMID:26875049 · W2265674765
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This case report describes a patient experiencing monthly knee swelling and reviews existing literature on this rare presentation.

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Abstract

IntroductionWe report a 17-year old with monthly swelling of her knee. The complaints are associated with the menstrual cycle. After physical examination, radiographs, MRI and an arthroscopy with biopsies, a diagnosis of intra-articular endometriosis and menstrual arthritis was made.DiscussionBoth an intra-articular manifestation of endometriosis and menstrual arthritis are very rare diagnoses. Extraperitoneal lesions of endometriosis are rare and the mechanism for spreading outside the retroperitoneal space is unknown. A similar situation exists for menstrual arthritis, it is thought that cytokines, which are produced as a reaction to retrograde menstruation, are the trigger for menstrual arthritis. A review of literature is given.ConclusionA monthly recurrent, painful swelling of a joint, can and should give rise to thorough investigation. Differential diagnostic one should think of intra-articular manifestation of endometriosis and menstrual arthritis. We give a proposal for treatment.

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Condition tags

endometriosis

MeSH descriptors

Arthralgia Arthritis Edema Endometriosis Knee Joint Menstrual Cycle Adolescent Arthralgia Arthralgia Arthritis Arthritis Edema Edema Endometriosis Endometriosis Female Humans Knee Joint Recurrence

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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