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22 Possible Causes for Bilateral Knee Effusion, Elevated Sedimentation Rate, Heel Pain

  • Reiter's Syndrome

    When he was seen 3 weeks later, the patient had a 3-lb weight loss, bilateral conjunctivitis, neck stiffness, and effusions of both knees and one ankle.[the-medical-dictionary.com] […] erythrocyte sedimentation rate (ESR), C reactive protein also elevated 81% HLA-B27, less common in African Americans (30-50%); more likely in patients with chronic or relapsing[enotes.tripod.com] Other associated symptoms were similar, particularly evidence of enthesopathy (tendonitis, heel pain, plantar fasciitis), the polyarticular pattern was more common than the[ncbi.nlm.nih.gov]

  • Osteoarthritis

    Rheumatoid arthritis frequently, but not always, causes elevation in blood levels of substances that are markers of systemic inflammation such as the ESR ( sed rate or erythrocyte[emedicinehealth.com] Stiffness, lumpiness and pain may be associated. Wearing tight shoes and high heels can make this pain worse.[medstarorthopaedicinstitute.org] Koca B, Öz B, Ölmez N, Memis A (2009) Effect of lateral-wedge shoe insoles on pain and function in patients with knee osteoarthritis.[doi.org]

  • Eosinophilic Fasciitis

    Peripheral blood eosinophilia was noted in 33 of 52 patients, hypergammaglobulinemia was noted in 17 of 49, and elevated sedimentation rate was noted in 15 of 52.[ncbi.nlm.nih.gov] ‘In contrast to plantar fasciitis, age-related heel pain is greatest in the center of the heel, and is usually not present on arising in the morning.’[en.oxforddictionaries.com] sedimentation rate, elevated IgG, and eosinophilia. eosinophilic fasciitis inflammation of fasciae of the limbs, associated with eosinophilia, edema, and swelling.[medical-dictionary.thefreedictionary.com]

  • Rheumatoid Arthritis

    In a patient with inflammatory arthritis, the presence of a rheumatoid factor or anti-citrullinated protein antibody, or elevated C-reactive protein level or erythrocyte sedimentation[ncbi.nlm.nih.gov] […] foot, pain when walking Dislocated toe joints Hammertoes Bunions Heel pain Achilles tendon pain Flatfoot ankle pain Diagnosis RA is diagnosed on the basis of a clinical examination[foothealthfacts.org] […] erythrocyte sedimentation rate (a blood test that, in most patients with RA, confirms the amount of inflammation in the joints) X-rays can help in detecting RA, but may be[rheumatology.org]

  • Juvenile Rheumatoid Arthritis

    The only laboratory abnormalities in this patient included elevated serum transaminases, a mildly elevated erythrocyte sedimentation rate, and a moderately elevated level[ncbi.nlm.nih.gov] It is important to ask about heel pain as a symptom of enthesitis. Soft tissue swelling of the knee or foot is a most common examination finding.[patient.info] Many patients with JIA, especially the polyarticular and systemic types, have elevated sedimentation rates and anemia.[unboundmedicine.com]

  • Arthritis

    After point-of-care ultrasound demonstrated bilateral knee effusions with complex, heterogeneous material, subsequent workup revealed a diagnosis of juvenile idiopathic arthritis[ncbi.nlm.nih.gov] The disease is marked by a wide range of system dysfunctions, an elevated erythrocyte sedimentation rate, and the formation of le cells in the blood or bone marrow.[icd9data.com] Typical symptoms include back pain , which lessens with activity, and heel pain due to enthesitis of the plantar fascia and Achilles tendon .[britannica.com]

  • Psoriatic Arthritis

    sedimentation rate (indicates the presence of inflammation) Positive testing for elevated C reactive protein (indicates the presence of acute inflammation) A negative test[my.clevelandclinic.org] Heel pain Swelling on the back of your leg above your heel Treatment for Psoriatic Arthritis Treatment usually involves treating both the skin condition and the joint inflammation[uclahealth.org] Although psoriatic arthritis sometimes causes an elevated erythrocyte sedimentation rate, mild anemia, and elevated blood uric acid levels, these symptoms are also associated[stanfordchildrens.org]

  • Pseudogout

    Two weeks prior to this surgery, she had sudden bilateral knee swelling was diagnosed in her home country of bilateral knee osteoarthritis with effusion and arthrocentesis[ncbi.nlm.nih.gov] Occasionally, a gout attack triggers a systemic inflammatory response manifesting with fevers, leukocytosis, elevated sedimentation rates, and elevated C-reactive protein[clevelandclinicmeded.com] Where as Gout will mostly affect the toes, heel, fingers, and wrist.[gout-aware.com]

  • Acute Polyarticular Gouty Arthritis

    Musculoskeletal exam reveals tenderness and swelling of the wrists and elbows; there is a moderate effusion in the right knee with associated warmth and tenderness.[basicmedicalkey.com] […] erythrocyte sedimentation rate or C-reactive protein (CRP) Infection, most inflammatory arthritides, advanced age, PMR, giant cell arteritis, cancer, anemia, pregnancy; menses[aafp.org] It can also attack ankles, heels, knees, wrists, fingers, and elbows. At first, gout attacks usually get better in days.[fpnotebook.com]

  • Brodie Abscess

    On palpating his knee joint there was no warmth. His skin temperature was bilaterally normal and similar. No joint effusion was felt. A patella tap test was negative.[jmedicalcasereports.biomedcentral.com] Leukocytosis and elevations in the erythrocyte sedimentation rate and C-reactive protein level may be noted.[aafp.org] Case history This patient of Asian origin migrated to Europe, when aged 28 suffered with symptoms of mild pain in the right heel region (end of year 2003); it was treated[ispub.com]