A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler

A Baker’s cyst is usually an incidental finding in adults being investigated for a joint arthropathy, and its rupture preceding the diagnosis of juvenile idiopathic arthritis (JIA) is rare in children. Here, we describe a case of a 4-year-old girl who presented to the Emergency Department with right...

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Main Authors: Deniz Üstüner, Fatma Asaid, Muhammad Pervaiz, Godwin Oligbu
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/1601348
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author Deniz Üstüner
Fatma Asaid
Muhammad Pervaiz
Godwin Oligbu
author_facet Deniz Üstüner
Fatma Asaid
Muhammad Pervaiz
Godwin Oligbu
author_sort Deniz Üstüner
collection DOAJ
description A Baker’s cyst is usually an incidental finding in adults being investigated for a joint arthropathy, and its rupture preceding the diagnosis of juvenile idiopathic arthritis (JIA) is rare in children. Here, we describe a case of a 4-year-old girl who presented to the Emergency Department with right calf pain, swelling, and no preceding history of trauma. MRI confirmed a ruptured Baker’s cyst with inflammatory arthropathy alongside an extensive synovial proliferation throughout the knee joint with large joint effusions and associated soft tissue oedema tracking superiorly and inferiorly along the medial head of gastrocnemius and anteriorly along the tibia. Further investigations revealed bilateral uveitis consistent with a diagnosis of juvenile idiopathic arthritis.
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series Case Reports in Pediatrics
spelling doaj-art-93539dfb9d624ff1b8ca2cfc75740ed42025-02-03T00:59:43ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/16013481601348A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a ToddlerDeniz Üstüner0Fatma Asaid1Muhammad Pervaiz2Godwin Oligbu3Department of Paediatrics, Dr Gray’s Hospital, NHS Grampian, Aberdeen, UKDepartment of Paediatrics, Dr Gray’s Hospital, NHS Grampian, Aberdeen, UKDepartment of Paediatrics, Dr Gray’s Hospital, NHS Grampian, Aberdeen, UKDepartment of Paediatrics, Dr Gray’s Hospital, NHS Grampian, Aberdeen, UKA Baker’s cyst is usually an incidental finding in adults being investigated for a joint arthropathy, and its rupture preceding the diagnosis of juvenile idiopathic arthritis (JIA) is rare in children. Here, we describe a case of a 4-year-old girl who presented to the Emergency Department with right calf pain, swelling, and no preceding history of trauma. MRI confirmed a ruptured Baker’s cyst with inflammatory arthropathy alongside an extensive synovial proliferation throughout the knee joint with large joint effusions and associated soft tissue oedema tracking superiorly and inferiorly along the medial head of gastrocnemius and anteriorly along the tibia. Further investigations revealed bilateral uveitis consistent with a diagnosis of juvenile idiopathic arthritis.http://dx.doi.org/10.1155/2020/1601348
spellingShingle Deniz Üstüner
Fatma Asaid
Muhammad Pervaiz
Godwin Oligbu
A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler
Case Reports in Pediatrics
title A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler
title_full A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler
title_fullStr A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler
title_full_unstemmed A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler
title_short A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler
title_sort rare case of juvenile idiopathic arthritis following a ruptured baker s cyst in a toddler
url http://dx.doi.org/10.1155/2020/1601348
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