Journal of Emergency Practice and Trauma

Sudden calf swelling and pseudo-thrombophlebitis in rheumatoid arthritis: an uncommon emergency spot diagnosis

Document Type : Letter to Editor

Authors

Ganesh Singh Dharmshaktu 1
Tanuja Pangtey 2

1 Department of Orthopaedics, Government Medical College, Haldwani, Uttarakhand, India

2 Department of Pathology, Government Medical College, Haldwani, Uttarakhand, India

https://doi.org/10.34172/jept.2022.09
Abstract
A 52-year-old male presented with atraumatic left side calf swelling for the last three months. The swelling had acute onset and increased gradually in size. He had a history of rheumatoid arthritis with treatment options limited to physiotherapy sessions and pain medication as he could not continue disease modifying anti-rheumatic drugs regularly. There was no history of co-morbidities like hypertension, tuberculosis, diabetes mellitus or bleeding diathesis. He neglected the swelling initially due to mild pain and little impact on activities of daily living till swelling increased to be apparent.

Keywords

Ruptured cyst
Knee bursa
Complication
Calf pain
Subjects
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3. Kane D, Balint PV, Gibney R, Bresnihan B, Sturrock RD. Differential diagnosis of calf pain with musculoskeletal ultrasound imaging. Ann Rheum Dis 2004; 63(1): 11-4. doi:10.1136/ard.2002.002824.
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5. Mülkoğlu C, Alpoğuz Yılmaz Z, Nacır B, Genç H. Pseudothrombophlebitis syndrome in a rheumatoid arthritis patient with swollen calf and persistent itching: a case report. BMC Musculoskelet Disord 2018; 19(1): 345. doi: 10.1186/s12891-018-2263-8.
Journal of Emergency Practice and Trauma
Volume 8, Issue 2
July 2022
Pages 88-89

  • Receive Date 13 March 2022
  • Revise Date 27 April 2022
  • Accept Date 25 May 2022

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