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Pediatric Rheumatology
Published in: Pediatric Rheumatology 1/2014

Open Access 01-12-2014 | Case Report

An intra-articular ganglion cyst in a patient with juvenile idiopathic arthritis

Authors: Donna Y Deng, Keolamau Yee, William Burkhalter, Kelley Chinen Okimoto, Kevin Kon, David K Kurahara

Published in: Pediatric Rheumatology | Issue 1/2014

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Abstract

We report an intra-articular ganglion cyst (IAGC) presenting as knee pain and a mass in a patient with longstanding Juvenile Idiopathic Arthritis (JIA). We could not find a similar case of an IAGC occurring in the knee of JIA patients in the literature. IAGC may need to be included as a possibility in patients with inflammatory arthritis with new-onset knee pain, especially in those with a palpable mass. MRI was useful in distinguishing IAGC from more worrisome causes of a knee mass. Orthopedic input was helpful in diagnosis and treatment. In addition, methotrexate therapy was effective in bringing about a long-lasting remission.
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Literature
1.
Gowdie P, Tse S: Juvenile Idiopathic Arthritis. Pediatr Clin N Am. 2012, 59: 301-327. 10.1016/j.pcl.2012.03.014.CrossRef
2.
Jordan A, McDonagh J: Juvenile idiopathic arthritis: the paediatric perspective. Pediatr Radiol. 2006, 36: 734-742. 10.1007/s00247-006-0165-7.CrossRefPubMed
3.
Prince F, Otten M, van Suijlekom-smit L: Diagnosis and management of juvenile idiopathic arthritis. BMJ. 2010, 341: 95-102.
4.
Bui-Mansfield L, Youngberg R: Intraarticular ganglia of the knee: prevalence, presentation, etiology, and management. AJR Am J Roentgenol. 1997, 168: 123-127. 10.2214/ajr.168.1.8976934.CrossRefPubMed
5.
Krudwig WK, Schulte K, Heinemann C: Intra-articular ganglion cysts of the knee joint: a report of 85 cases and review of the literature. Knee Surg Sports Traumatol Arthrosc. 2004, 12: 123-129. 10.1007/s00167-003-0372-9.CrossRefPubMed
6.
Battaglia T, Freilich A, Diduch D: An intra-articular knee cyst in a 2-year-old associated with an aberrant anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2007, 15: 36-38. 10.1007/s00167-006-0119-5.CrossRefPubMed
7.
Dinakar B, Khan T, Kumar AC, Kumar A: Ganglion cyst of the anterior cruciate ligament: a case report. J Orthop Surg. 2005, 13: 181-185.
8.
Fillingham Y, Coe M, Hellman M, Haughorm B, Adeniran A, Sparks M: Report of ganglion cyst in the anterior cruciate ligament of a 6-year-old child. Knee. 2013, 20: 144-147. 10.1016/j.knee.2012.10.008.CrossRefPubMed
9.
Beukelman T, Haynes K, Curtis J, Xie F, Chen L, Bemrich-Stolz C, Delzell E, Saag K, Solomon D, Lewis J: Rates of malignancy associated with juvenile idiopathic arthritis and its treatment. Arthritis Rheum. 2012, 64: 1263-1271. 10.1002/art.34348.PubMedCentralCrossRefPubMed
10.
Nordstrom B, Mines D, Gu Y, Mercaldi C, Aquino P, Harrison M: Risk of malignancy in children with juvenile idiopathic arthritis not treated with biologic agents. Arthritis Care Res (Hoboken). 2012, 64: 1357-1364. 10.1002/acr.21709.CrossRef
11.
Mannion M, Beukelman T: What is the background incidence of malignancy in children with rheumatic disease?. Curr Rheumatol Rep. 2013, 15: 310-CrossRefPubMed
12.
Cleary A, McDowell H, Sills J: Polyarticular juvenile idiopathic arthritis treated with methotrexate complicated by the development of non-Hodgkin’s lymphoma. Arch Dis Child. 2002, 86: 47-49. 10.1136/adc.86.1.47.PubMedCentralCrossRefPubMed
13.
Beaman F, Peterson J: MR Imaging of Cysts, Ganglia, and bursae about the knee. Radiol Clin N Am. 2007, 45: 969-982. 10.1016/j.rcl.2007.08.005.CrossRefPubMed
14.
McCarthy C, McNally E: The MRI appearance of cystic lesions around the knee. Skeletal Radiol. 2004, 33: 187-209. 10.1007/s00256-003-0741-y.CrossRefPubMed
15.
Lunhao B, Yu S, Jiashi W: Diagnosis and treatment of ganglion cysts of the cruciate ligaments. Arch Orthop Trauma Surg. 2011, 131: 1053-1057. 10.1007/s00402-011-1286-5.CrossRefPubMed
16.
Andrikoula S, Vasiliadis H, Tokis A, Kosta P, Batistatou A, Georgoulis A: Intra-articular ganglia of the knee joint associated with the anterior cruciate ligament: a report of 4 cases in 3 patients. Arthroscopy. 2007, 23: 800.e1-800.e6.CrossRef
17.
Kim MG, Kim BH, Choi J, Lee NJ, Chung KB, Choi YS, Cho SB, Lim HC: Intra-articular ganglion cysts of the knee: clinical and MR imaging features. Eu Radiol. 2001, 11: 834-840. 10.1007/s003300000713.CrossRef
18.
Laurell L, Court-Payen M, Nielsen S, Zak M, Boesen M, Fasth A: Ultrasonography and color Doppler in juvenile idiopathic arthritis: diagnosis and follow-up of ultrasound-guided steroid injection in the ankle region. A descriptive interventional study. Pediatr Rheumatol. 2011, 9: 4-10.1186/1546-0096-9-4.CrossRef
19.
David K, Korula R: Intra-articular ganglion cyst of the knee. Knee Surg Sports Traumatol Arthrosc. 2004, 12: 335-337.CrossRefPubMed
Metadata
Title
An intra-articular ganglion cyst in a patient with juvenile idiopathic arthritis
Authors
Donna Y Deng
Keolamau Yee
William Burkhalter
Kelley Chinen Okimoto
Kevin Kon
David K Kurahara
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Pediatric Rheumatology / Issue 1/2014
Electronic ISSN: 1546-0096
DOI
https://doi.org/10.1186/1546-0096-12-14

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