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A Case of Rheumatoid Arthritis with Unilateral Knee Synovial Hypertrophy in Hemiplegia

Title
A Case of Rheumatoid Arthritis with Unilateral Knee Synovial Hypertrophy in Hemiplegia
Author
박시복
Keywords
Rheumatoid arthritis; Synovial hypertrophy; Hemiplegia
Issue Date
2012-04
Publisher
대한재활의학회
Citation
Annals of rehabilitation medicine, Apr 2012, 36(1), P.144-147
Abstract
A 64-year-old woman suff ering right hemiplegia came in with pain and swelling on her left knee, general weakness and poor oral intake for 2 months. On physical examination we were able to palpate a mass with irregular margin around the left suprapatellar area. From the results of the magnetic resonance imaging (MRI), synovial proliferative disease, infectious arthritis, or gouty arthritis was suspected. We performed a blood laboratory test to detect rheumatologic diseases, knee joint aspiration, and bone scan for diff erential diagnosis, and were able to diagnose rheumatoid arthritis (RA) from the results of blood laboratory, physical examination, and bone scan.Consequently, we started medications for controlling RA. Herein, we report a case of rheumatoid arthritis with unilateral knee synovial hypertrophy in hemiplegia. If a right hemiplegic patient has recurrent pain on the left knee and synovial hypertrophy, and fails to respond to treatment for osteoarthritis, early detection by evaluation for rheumatic disease is crucial to prevent severe sequelae infl uencing rehabilitation of hemiplegia.
URI
http://synapse.koreamed.org/DOIx.php?id=10.5535/arm.2012.36.1.144http://hdl.handle.net/20.500.11754/43791
ISSN
2234-0645; 2234-0653
DOI
10.5535/arm.2012.36.1.144
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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