Medial Tibial Stress Syndrome Induced by Methotrexate: A Case Report

Received: December 26, 2010 Accepted: March 4, 2011 Correspondence: Maarten Moen, M.D. Department of Rehabilitation and Sports Medicine, University Medical Center Utrecht, 3584CX Utrecht, Netherlands. Tel: 0031-88-7555496 e-mail: m.moen@umcutrecht.nl ©2011 Turkish League Against Rheumatism. All rights reserved. Normalde, medial tibial stres sendromunun nedeni, atletlerde ve acemi askerlerde sık şekilde görüldüğü gibi, tibiaya aşırı yüklenilmesidir. Bu olgu sunumunda medial tibial stres sendromuyla ilişkili klasik semptomlar yaşayan ve psoriyatik artriti bulunan 49 yaşındaki fiziksel olarak inaktif bir erkek hasta tarif edilmektedir. Semptomlar metotreksattan kaynaklanmıştır ve dozajın azaltılmasıyla birlikte sona ermiştir. Anahtar sözcükler: Medial tibial stres sendromu; metotreksat; osteopati; bacak atelleri. Normally, the cause of medial tibial stress syndrome is the overloading of the tibia as seen frequently in athletes and military recruits. This case report describes a physically inactive 49-year-old male patient suffering from psoriatic arthritis with the classic symptoms associated with medial tibial stress syndrome. The symptoms were due to the use of methotrexate and ceased by lowering the dosage.

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