Abnormal Uterine Bleeding in a Postmenopausal Woman After an Intra-articular Knee Injection With Triamcinolone: A Case Report

A 71-year-old postmenopausal woman was referred for evaluation of pain in her left knee. She was previously treated with oral analgesics, but her knee pain persisted, limiting her functional mobility. An intra-articular corticosteroid injection of the left knee was administered. Several days after t...

Full description

Saved in:
Bibliographic Details
Published in:PM & R 2014-07, Vol.6 (7), p.656-658
Main Authors: James, Lee M., DO, Carneiro, Kevin, DO
Format: Article
Language:English
Subjects:
Aged
Arthralgia - drug therapy
Female
Glucocorticoids - administration & dosage
Glucocorticoids - adverse effects
Humans
Injections, Intra-Articular - adverse effects
Knee Joint
Physical Medicine and Rehabilitation
Postmenopause
Triamcinolone Acetonide - administration & dosage
Triamcinolone Acetonide - adverse effects
Uterine Hemorrhage - chemically induced
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 71-year-old postmenopausal woman was referred for evaluation of pain in her left knee. She was previously treated with oral analgesics, but her knee pain persisted, limiting her functional mobility. An intra-articular corticosteroid injection of the left knee was administered. Several days after the injection, she reported vaginal bleeding that resolved spontaneously after 5 days. We postulate that exogenous steroids disrupted circulating hormone levels, leading to abnormal postmenopausal uterine bleeding.
ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2013.11.015