RESUMO
La artritis pseudoséptica es una complicación infrecuente de las inyecciones intraarticulares de ácido hialurónico que puede ser difícil de diferenciar de la artritis séptica. Los pacientes presentan dolor agudo y derrame articular, alrededor de 24 h después de la segunda o tercera infiltración. Presentamos el caso de una paciente con artritis reumatoide seropositiva y brotes previos de artritis pseudosépticas de rodilla que ha desarrollado una artritis de rodilla de características similares después de su primera inyección de ácido hialurónico.(AU)
Pseudoseptic arthritis is a rare complication of hyaluronic acid injections that often is difficult to differentiate from septic arthritis. Patients present acute pain, swelling and joint effusion normally around 24h after the second or third infiltration. We describe a female patient with seropositive rheumatoid arthritis and flare-ups of knee arthritis with pseudoseptic features in the past, who develops pseudoseptic arthritis of the knee following her first injection of hyaluronic acid.(AU)
Assuntos
Humanos , Feminino , Idoso , Artrite/terapia , Ácido Hialurônico/uso terapêutico , Artrite Reumatoide/tratamento farmacológico , Dor/tratamento farmacológico , Injeções Intra-Articulares , Reumatologia , Doenças Reumáticas , Pacientes Internados , Exame Físico , Artrite Reumatoide/reabilitação , Manejo da DorRESUMO
Pseudoseptic arthritis is a rare complication of hyaluronic acid (HA) injections that often is difficult to differentiate from septic arthritis. Patients present acute pain, swelling and joint effusion normally around 24h after the second or third HA infiltration. We describe a female patient with seropositive rheumatoid arthritis and flare-ups of knee arthritis with pseudoseptic features in the past, who develops pseudoseptic arthritis of the knee following her first injection of hyaluronic acid.