RESUMO
A 55-year-old man was evaluated at the outpatient rheumatology clinic with painful shins since 6 weeks. He also had a maculopapular rash on his trunk. Bone scintigraphy showed bilateral tibia periostitis. Serologic testing for syphilis was positive matching active infection. The diagnosis secondary syphilis with bilateral tibia periostitis was made.
Assuntos
Periostite/diagnóstico , Sífilis/diagnóstico , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Periostite/microbiologia , Sífilis/complicações , Sorodiagnóstico da Sífilis , Tíbia/microbiologiaRESUMO
OBJECTIVE: To determine whether a double dose of intraarticular triamcinolone acetonide is more effective for knee arthritis than a 40-mg dose. METHODS: In this 12-week randomized controlled clinical trial, 40 mg and 80 mg of intraarticular triamcinolone acetonide were compared in patients with knee arthritis. Evaluated variables included a Likert burden scale, visual analog scale pain scale, degree of arthritis activity, presence of swelling, and presence of functional limitation. RESULTS: Ninety-seven patients were randomized. No significant differences were observed between the groups regarding any outcomes. CONCLUSION: An 80-mg dose of triamcinolone acetonide had no additional benefit compared with 40 mg as treatment for knee arthritis. TRIAL REGISTRATION: Nederlands Trial Register; trial registration number: NTR2298.
