Eklem içi hiyaluronik asit uygulamasından sonra akut aseptik artrit

Öz

Diz ekleminde gelişen osteoartrit tedavisinde eklem içi hiyaluronik asit (HA) uygulanabilmektedir. Yan etki genellikle görülmemekle birlikte  tekrarlayan uygulamalar sonrasında 24-48. saatte nadiren aseptik artrit gelişebilmektedir. Bu raporda ilk kez diz eklemine HA uygulanan bir hastada, 3-4 saatte gelişen, septik artriti taklit eden akut aseptik artrit olgusu sunulmuştur.

Anahtar Kelimeler

• Aseptik artrit,hiyaluronik asit

Acute aseptic arthritis after intraarticular hyaluronic acid

Öz

Hyaluronic acid injections in the joint can be used to treat osteoarthritis of the knee. While side effects are rare, for repeated injections, aseptic arthritis can develop 24-48 hours after the injections. In this report, a case of acute aseptic arthritis mimicing septic arhritis, developing in 3-4 hours, is presented for a patient undergoing HA treatment for the first time.

Anahtar Kelimeler

• Aseptic arthritis,hyaluronic acid

Kaynakça

1. 1. Peyron JG. Intraarticular hyaluronan injections in the treatment of osteoarthritis: state of-the-art review. Rheumatology 1993; 39: 10-5.
2. 2. Balazs EA, Denlinger JL.Viscosupplementation: a new concept in the treatment of osteoarthritis. J Rheumatol 1993; 39: 3-9.
3. 3. Chen AL, Desai P, Adler EM, Di Cesare PE. Granulomatous inflammation after Hylan G-F 20 viscosupplementation of the knee: a report of six cases. J Bone Jt Surg Am 2002; 84-A(7): 1142-7.
4. 4. Michou L, Job-Deslandre C, de Pinieux G, Kahan A. Granulomatous synovitis after intraarticular Hylan GF-20. A report of two cases. Joint Bone Spine 2004; 71: 438-40.
5. 5. McColgan BP, Borschke FA. “Pseudoseptic arthritis after accidental intra-articular deposition of the pneumococcal polyvalent vaccine: a case report,” Am J Emerg Med 2007; 25: 864e1-864.e3.
6. 6. Call RS, Ward JR, Samuelson CO. Pseudoseptic’ arthritis in patients with rheumatoid arthritis. West J Med 1985; 143: 471-3.
7. 7. Oppermann BP, Cote JK, Morris SJ, Harrington T. Pseudoseptic Arthritis: A Case Series and Review of the Literature. Hindawi Publis Corporation Case Reports in Infect Dis 2011: Article ID 942023; 4 pages.
8. 8. Idrissi Z, Benbouazza K, Fourtassi M, et al. Acute pseudo-septic arthritis following viscosuplementation of the knee. P Afr Med J 2012; 12: 44-7.

9. 9. Roos J, Epaulard O, Juvin R, Chen C, Pavese P, Brion JP. Acute pseudoseptic arthritis after intraarticular sodium hyaluronan Joint Bone Spine 2004; 71: 352-4.
10. 10. Leopold SS, Winston J Warme LC, Pettis PD, Shott S. Increased frequency of acute local reaction to intra-articular hylan GF-20 (Synvisc) in patients more than one course of treatment. J Bone Joint Surg 2002; 84: 1619-23.
11. 11. Tahiri L, Benbouazza K, Amine B, Hajjaj-Hassouni N. Acute pseudoseptic arthritis after viscosupplementation of the knee: a case report Clin Rheumatol 2007; 26: 1977-9.
12. 12. Michou L, Job-Deslandre C, Pinieux G, Kahan A. Granulomatous synovitis after intraarticular Hylan GF-20. A report of two cases. Joint Bone Spine 2004; 71: 438-40.