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
Review OA: closed CC0 ⤵ 2 in-corpus citations
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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

INTRODUCTION: We 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. DISCUSSION: Both 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. CONCLUSION: A 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 Menstrual Cycle Adolescent Adolescent Arthralgia Arthralgia Arthralgia Arthritis Arthritis Arthritis Edema Edema Edema Endometriosis Endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (17)

Cited by (3)

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