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퇴행성 슬관절염 환자에서 관절 내 Hyaluronic Acid 주입 후 발생한 비감염성 급성 염증반응 2예

Acute Pseudoseptic Inflammatory Local Reactions after Intra-articular Hyaluronic Acid Injections in Patients with Knee Osteoarthritis

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초록

Knee osteoarthritis is a common, but difficult problem to manage in primary care. Intra-articular hyaluronic acid injection has recently been frequently used for treating knee osteoarthritis. The adverse local reactions, except septic arthritis, following intra-articular hyaluronic acid injections are generally transient and not severe. Pseudoseptic arthritis is an extreme form of inflammatory arthritis that is not due to bacterial infection and it is important to distinguish this from true septic arthritis. In this article, we report 2 cases of acute pseudoseptic local reactions after intra-articular hyaluronic acid injections in patients with knee osteoarthritis.

Abstract

Knee osteoarthritis is a common, but difficult problem to manage in primary care. Intra-articular hyaluronic acid injection has recently been frequently used for treating knee osteoarthritis. The adverse local reactions, except septic arthritis, following intra-articular hyaluronic acid injections are generally transient and not severe. Pseudoseptic arthritis is an extreme form of inflammatory arthritis that is not due to bacterial infection and it is important to distinguish this from true septic arthritis. In this article, we report 2 cases of acute pseudoseptic local reactions after intra-articular hyaluronic acid injections in patients with knee osteoarthritis.

참고문헌 (20)

  1. 소금영, "퇴행성 골관절염 환자에서 슬관절내 Hyaluronic Acid 주입 후발생한 Septic Arthritis 경험 2예", The Korean Journal of Pain, 15(1), pp.80~83 (2002), 대한통증학회
  2. 노성숙, "퇴행성 슬관절염에 대한 히알루론산 나트륨의 치료효과", The Korean Journal of Pain, 17(2), pp.12~12 (2004), 대한통증학회
  3. Brandt KD, "Intraarticular injection of hyaluronan as treatment for knee osteoarthritis: what is the evidence?", Rheum, 43, pp.1192~1203 (2000)
  4. Smith MM, "The synthesis of hyaluronic acid by human synovial fibroblasts is influenced by the nature of the hyaluronate in the extracellular environment", Rheumatol Int, 7, pp.113~122 (1987)
  5. Sato H, "Antioxidant activity of synovial fluid, hyaluronic acid, and two subcomponents of hyaluronic acid. Synovial fluid scavenging effect is enhanced in rheumatoid arthritis patients", Arthritis Rheum, 31, pp.63~71 (1988)
  6. Takahashi K, "Hyaluronan suppressed nitric oxide production in the meniscus and synovium of rabbit osteoarthritis model", J Orthop Res, 19, pp.500~503 (2001)
  7. Kalaci A, "Effects of hyaluronan on nitric oxide levels and superoxide dismutase activities in synovial fluid in knee osteoarthritis", Clin Rheumatol, 26, pp.1306~1311 (2007)
  8. Wobig M, "Open- label multicenter trial of the safety and efficacy of viscosupplementation with hylan G-F 20 (Synvisc) in primary osteoarthritis of the knee", J Clin Rheumatol, 5, pp.24~31 (1999)
  9. Henderson EB, "Intra-articular injections of 750 kD hyaluronan in the treatment of osteoarthritis: a randomised single centre double-blind placebo-controlled trial of 91 patients demonstrating lack of efficacy", Ann Rheum Dis, 53, pp.529~534 (1994)
  10. Lussier A, "Viscosupplementation with hylan for the treatment of osteoarthritis: findings from clinical practice in Canada", J Rheumatol, 23, pp.1579~1585 (1996)
  11. Puttick MP, "Acute local reactions after intraarticular hylan for osteoarthritis of the knee", J Rheumatol, 22, pp.1311~1314 (1995)
  12. Bernardeau C, "Acute arthritis after intra- articular hyaluronate injection: onset of effusions without crystal", Ann Rheum Dis, 60, pp.518~520 (2001)
  13. 장지은, "무릎 골관절염 환자에서 Hyaluronic Acid의 관절강 내 주입 후 일어나는 국소 반응", 대한류마티스학회지, 10(3), pp.7~282 (2003), 대한류마티스학회
  14. Marshall KW, "Intra-articular hyaluronan therapy", Curr Opin Rheumatol, 12, pp.468~474 (2000)
  15. Disla E, "Recurrent acute calcium pyrophosphate dihydrate arthritis following intraarticular hyaluronate injection", Arthritis Rheum, 42, pp.1302~1303 (1999)
  16. Luzar MJ, "Pseudogout following intraarticular injection of sodium hyaluronate", Arthritis Rheum, 41, pp.939~940 (1998)
  17. Kurosaka N, "Effects of hyaluronate on CD44 expression of infiltrating cells in exudate of rat air pouch, induced by sensitization with lipopolysaccharide", J Rheumatol, 26, pp.2186~2190 (1999)
  18. Henderson EB, "A pathological role for damaged hyaluronan in synovitis", Ann Rheum Dis, 50, pp.196~200 (1991)
  19. Margaretten ME, "Does this adult patient have septic arthritis?", JAMA, 297, pp.1478~1488 (2007)
  20. Li SF, "Diagnostic utility of laboratory tests in septic arthritis", Emerg Med J, 24, pp.75~77 (2007)

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