RESUMEN
Persistent inflammatory monoarthritis is defined as inflammation of one joint that continues for longer than 3 months. Most cases remain as nonspecific arthritis after several years. Persistent inflammatory monoarthritis is difficult to diagnose and treat in the early stage because there are no criteria for diagnosis and treatment. We report five seronegative persistent inflammatory monoarthritis cases that affected the left knee, right knee, left knee, left ankle, and right knee. All patients underwent joint punctures; two patients received steroid injections in the affected joint. The bacterial and mycobacterial culture were negative in all patients. Two patients received oral steroids, and two patients were administered nonsteroidal anti-inflammatory drugs; however, their symptoms did not improve, and one patient experienced progression of joint destruction. We investigated the usefulness of biological disease-modifying antirheumatic drugs for the treatment of seronegative persistent inflammatory monoarthritis. We obtained a remarkable improvement effect and prevented the advance of joint destruction.
Asunto(s)
Antirreumáticos , Artritis , Humanos , Antirreumáticos/uso terapéutico , Artritis/diagnóstico , Artritis/tratamiento farmacológico , Artritis/etiología , Antiinflamatorios no Esteroideos/uso terapéutico , Terapia BiológicaAsunto(s)
Vértebras Cervicales , Hipofosfatemia Familiar/complicaciones , Mesenquimoma/complicaciones , Neoplasias de Tejido Conjuntivo/etiología , Neoplasias de la Columna Vertebral/complicaciones , Anciano , Biopsia , Humanos , Hipofosfatemia Familiar/diagnóstico , Imagen por Resonancia Magnética , Masculino , Mesenquimoma/diagnóstico , Neoplasias de Tejido Conjuntivo/diagnóstico , Osteomalacia , Síndromes Paraneoplásicos , Fósforo/sangre , Tomografía de Emisión de Positrones , Neoplasias de la Columna Vertebral/diagnóstico , Tomografía Computarizada por Rayos XRESUMEN
Medial superior cluneal nerve entrapment neuropathy causes pain radiating from the low back down to the posterior thigh. It tends to be misdiagnosed as a lumbar spine disorder. Patients in previous reports were in the middle or old age at the onset. Proposing simultaneous full flexion of the ipsilateral hip and knee joints as a provocation test, we present two cases of teenager females who spent long before diagnosis of their condition. Both of them had engaged in vigorous sports activities and completely recovered from the disability following local anaesthetic and corticosteroid injection at the trigger point.