A member asked:

Can ra, adenomyosis (causes clotting) or a ruptured baker's cyst cause elevated d-dimer. 2 us and neither found clot. lump behind right knee, edema in calf and foot. can't fully extend. no warmth or discoloration. feels like water running down leg?

2 doctors weighed in across 2 answers

This scenario certainly suggests that a ruptured Baker's cyst is quite likely. I believe that Inflammatory processes like RA or clotting from adenomyosis can cause elevation of d dimer. In my opinion an MRI would most likely demonstrate the responsible issue with your leg. Discuss this with your MD or attending physician who could speak to the radiologist.

Answered 10/7/2021

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Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

Yes, a ruptured Baker’s cyst can cause above symptoms and is common in RA. D-dimer is a non specific test that will not help at this point in further sorting out the diagnosis. The sensation of water running down the leg suggests a local neuropathy due to compression.

Answered 10/9/2021

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