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Abnormal Uterine Bleeding in a Postmenopausal Woman After an Intra‐articular Knee Injection With Triamcinolone: A Case Report
Author(s) -
James Lee M.,
Carneiro Kevin
Publication year - 2014
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2013.11.015
Subject(s) - medicine , triamcinolone acetonide , postmenopausal women , corticosteroid , vaginal bleeding , surgery , uterine bleeding , knee pain , limiting , osteoarthritis , pregnancy , alternative medicine , pathology , biology , genetics , mechanical engineering , engineering
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.