• Bmc Musculoskel Dis · Sep 2018

    Case Reports

    Pseudothrombophlebitis syndrome in a rheumatoid arthritis patient with swollen calf and persistent itching: a case report.

    • Cevriye Mülkoğlu, Zeynep Alpoğuz Yılmaz, Barış Nacır, and Hakan Genç.
    • Department of Physical Therapy and Rehabilitation, Ankara Health Application and Research Hospital, Ulucanlar street, 06230, Altındağ/Ankara, Turkey. drckaraca@hotmail.com.
    • Bmc Musculoskel Dis. 2018 Sep 24; 19 (1): 345.

    BackgroundBaker's cyst is a benign lesion that results from degenerative or inflammatory diseases of the knee joint. When Baker's cyst ruptures, it may simulate deep vein thrombosis known as Pseudothrombophlebitis syndrome with calf pain, swelling and redness. Pseudothrombophlebitis syndrome without thrombus in popliteal veins has distinct treatment choice than deep vein thrombus.Case PresentationIn this report, we presented a 47 year-old male rheumatoid arthritis patient with complaints of redness, pain and swelling on his right calf. Pseudothrombophlebitis syndrome was diagnosed due to ruptured Baker's cyst.ConclusionsWe used musculoskeletal ultrasound for both differential diagnosis and treatment of pseudothrombophlebitis syndrome. Ultrasonography revealed massive fluid collection within muscle layers. 280 cc inflammatory fluid was aspirated simultaneously. We also emphasized the importance of ultrasonography in diagnosis and treatment of Pseudothrombophlebitis syndrome with this report.

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