title: Celiac disease of the joint.
abstract: A 42-year-old woman presented with a 3-week history of left knee pain and swelling. She had suffered dermatitis herpetiformis for 12 years, proved by skin biopsy. She had never been on gluten-free diet. Knee pain increased with motion and her gait was antalgic. On admission, she was mainly dependent on wheelchair due to pain and limitation. Treatment plan consisted of gluten-free diet, stretching and strengthening exercises, analgesic or nonsteroidal anti-inflammatory drugs when needed. She responded well to gluten-free diet. Association of joint involvement and dermatitis herpetiformis is more than just coincidental. Possible immunopathogenesis and role of gluten-free diet on arthritis treatment are discussed.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey. ozdenozyemisci@yahoo.com
authors.forename: Ozden
authors.initials: O
authors.lastname: Ozyemisci-Taskiran
authors.forename: Mustafa
authors.initials: M
authors.lastname: Cengiz
authors.forename: Fatma
authors.initials: F
authors.lastname: Atalay
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001706:Biopsy; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000276:immunology / Q000628:therapy; D003874:Dermatitis Herpetiformis / Q000150:complications* / Q000175:diagnosis / Q000276:immunology / Q000628:therapy; D055050:Diet, Gluten-Free; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000150:complications* / Q000175:diagnosis / Q000276:immunology / Q000503:physiopathology / Q000628:therapy; D007719:Knee Joint / Q000276:immunology / Q000503:physiopathology; D052580:Muscle Stretching Exercises; D016896:Treatment Outcome
chemical_list: D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal