Summary
Juxta-articular adiposis dolorosa, i.e., painful fatty deposits around the joint may occur in postmenopausal obese women. The association of the syndrome with osteoarthritis has been described. The present report describes 2 women suffering from rheumatoid arthritis with painful fatty deposits around the knees. Both responded to local injection of corticosteroid. The possible pathogenesis of the source of pain is discussed.
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Kling, D.H., Juxta-articular adiposis dolorosa, its significance and relation to Dercum's disease and osteoarthritis. Arch Surg 1937 34, 599–630.
Blomstrand, R., Juhlin, L., Nordenstam, H., Ohlsson, R., Werner, B., Engstom, J., Adiposis dolorosa associated with defects of lipid metabolism. Acta Derm Venerol (Stockh) 1971, 51, 243–250.
Eisman, J., Swezey, R.L., Juxta-articular adiposis dolorosa: what is it? Report of 2 cases. Ann Rheum Dis 1979, 38, 479–482.
Ropes, M.W., Bennett, G.A., Cobb, S., 1958 revision of diagnostic criteria for rheumatoid arthritis. Arthritis Rheum 1959, 2, 16–20.
Dercum, F.X., Three cases of hitherto unclassified affection resembling in its grosser aspects obesity but associated with special nervous symptoms—adiposis dolorosa. Am J Med Sci 1982, 104, 521–535.
Nahir, A.M., Schapira, D., Scharf, Y., Juxta-articular adiposis dolorosa — a neglected disease. Israel J Med Sci 1983, 19, 858–859.
Mella, B.A., Adiposis dolorosa. Univ Mich Med Cen J 1967, 33, 79–81.
Iwane, T., Maruyama, M., Matsuki, M., Ito, Y., Shimoji, K. Management of intractable pain in adiposis dolorosa with intravenous administration of lidochine. Anesthesia Analgesia 1976, 55, 257–259.
De Marchis, J., Gangon, P. A., Maladie d'Hoffa. Union Med Can 1973, 102, 1313–1315.
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Weinberger, A., Wysenbeec, A.J. & Pinkhas, J. Juxta-articular adiposis dolorosa associated with rheumatoid arthritis. Report of 2 cases with good response to local corticosteroid injection. Clin Rheumatol 6, 446–448 (1987). https://doi.org/10.1007/BF02206847
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DOI: https://doi.org/10.1007/BF02206847