title: Abnormal uterine bleeding in a postmenopausal woman after an intra-articular knee injection with triamcinolone: a case report.
abstract: 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.
authors.affiliation: Department of Physical Medicine and Rehabilitation, School of Medicine, The University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC 27514(∗). Electronic address: ljames@unch.unc.edu.
authors.forename: Lee M
authors.initials: LM
authors.lastname: James
authors.affiliation: Department of Physical Medicine and Rehabilitation, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC(†).
authors.forename: Kevin
authors.initials: K
authors.lastname: Carneiro
mesh_terms: D000368:Aged; D018771:Arthralgia / Q000188:drug therapy*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D007270:Injections, Intra-Articular / Q000009:adverse effects; D007719:Knee Joint; D017698:Postmenopause; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000009:adverse effects*; D014592:Uterine Hemorrhage / Q000139:chemically induced*
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide