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Rheumatol Int. 2011 May;31(5):573-6. doi: 10.1007/s00296-010-1670-4. Epub 2010 Dec 9.

Celiac disease of the joint.

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Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey.


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.

[Indexed for MEDLINE]

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