Long-lasting severe knee pain in a SLE patient after renal transplantation: what is the reason? A case report and literature review.
Arthralgia
Bone
Kidney transplantation
Lupus nephritis
Journal
Rheumatology international
ISSN: 1437-160X
Titre abrégé: Rheumatol Int
Pays: Germany
ID NLM: 8206885
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
06
07
2021
accepted:
29
09
2021
pubmed:
20
10
2021
medline:
1
3
2022
entrez:
19
10
2021
Statut:
ppublish
Résumé
Musculo-skeletal complaints in a patient suffering from systemic lupus, with co-existing chronic renal failure, undergoing immunosuppressive treatment after kidney transplantation, can have a varied etiology. The aim of this work was to present a case based review of differential diagnosis of knee pain in such a patient. A literature search was carried out using MEDLINE/PubMed, Google Scholar and EBSCO, with no time limit. We undertook a systematic review of the literature published in English, limited to full-text publications of original articles, letters to the editor, and case reports in peer-reviewed journals, for a discussion and analysis of studies reporting arthralgia in patients with lupus after kidney transplantation. We present a case report of a 45-year-old woman with lupus nephritis, after kidney transplantation, who started to complain of increasing pain in the knees, most pronounced at night and after physical activity approximately 2 years after transplantation. Extensive causal diagnostics were carried out, which revealed bilateral extensive regions of bone infarction in the femur and tibia, chondropathy, degenerative changes of medial meniscuses in the body and posterior horn as well as chondromalacia of the patella. Establishing the right diagnosis is crucial for implementing appropriate treatment.
Identifiants
pubmed: 34665297
doi: 10.1007/s00296-021-05018-8
pii: 10.1007/s00296-021-05018-8
pmc: PMC8800873
doi:
Substances chimiques
Immunosuppressive Agents
0
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
349-358Informations de copyright
© 2021. The Author(s).
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