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OtherImages in Rheumatology

Metastatic Knee

ALLAN C. GELBER and AMI A. SHAH
The Journal of Rheumatology September 2008, 35 (9) 1894;
ALLAN C. GELBER
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AMI A. SHAH
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A 39-year-old woman with breast cancer was admitted with progressive bilateral knee pain. Five years earlier, a 3.5 cm primary breast lesion was detected, including one positive axillary lymph node, and she received 4 cycles of chemotherapy. Three years before admission, metastatic disease was detected in the lumbar spine; additional chemotherapy followed.

She now presented with increasingly intolerable right greater than left knee pain, which was intolerable upon weight-bearing and ambulation. Medications included ibuprofen, oxycodone, pregabalin, and paroxitene. Examination revealed a sedated woman with alopecia. Temperature was 37.8°C. Heart, lung, and abdominal findings were unremarkable. There was no synovitis affecting…

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The Journal of Rheumatology
Vol. 35, Issue 9
1 Sep 2008
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ALLAN C. GELBER, AMI A. SHAH
The Journal of Rheumatology Sep 2008, 35 (9) 1894;

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ALLAN C. GELBER, AMI A. SHAH
The Journal of Rheumatology Sep 2008, 35 (9) 1894;
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