Lytic lesions of the femoral neck in rheumatoid arthritis simulating pigmented villonodular synovitis or malignancy

1982 ◽  
Vol 1 (1) ◽  
pp. 30-34
Author(s):  
J. C. Gerster ◽  
P. Anani ◽  
P. de Goumoens ◽  
M. Pellation
Keyword(s):  
Rheumatoid Arthritis ◽  
Femoral Neck ◽  
Pigmented Villonodular Synovitis ◽  
Villonodular Synovitis ◽  
Lytic Lesions ◽  
Pigmented Villonodular

scholarly journals Monoarticular synovitis of knee: dealing with the dilemma

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 48
Author(s):  
Tarun Goyal ◽  
Souvik Paul ◽  
Arghya Kundu Choudhury ◽  
Tushar Kalonia
Keyword(s):  
Rheumatoid Arthritis ◽  
Histopathological Examination ◽  
Specific Treatment ◽  
Pigmented Villonodular Synovitis ◽  
Functional Improvement ◽  
Villonodular Synovitis ◽  
Duration Of Symptoms ◽  
Large Joint ◽  
Chronic Synovitis ◽  
Pigmented Villonodular

Introduction: Chronic synovitis involving a single large joint remains a diagnostic dilemma. We present 61 cases of chronic synovitis of the knee, followed prospectively for 2 years. The study focuses on the diagnosis, management, and histopathological correlation. Methods: We prospectively studied 61 patients with chronic mono-articular synovitis of the knee joint, between July 2016 and September 2017. All patients underwent plain radiographs, magnetic resonance imaging, and arthroscopic examination with synovial biopsy. Further treatment was based on findings of histopathological examination. Results: The average duration of symptoms was 7.72 ± 4.34 months. The mean age at presentation was 29.93 ± 15.56 years. Results of histopathological examination showed chronic nonspecific inflammation in 28 patients (46%), features suggesting tubercular infection in 19 patients (31%), pigmented villonodular synovitis in seven patients (11.5%), rheumatoid arthritis in three (5%) patients, acute inflammation in three (5%) patients and findings suggestive of synovial chondromatosis in one (1.5%) patient. Treatment was based on histopathological results. Intra-articular injections of methylprednisolone (80 mg depot preparation) were given to all patients with nonspecific synovitis and rheumatoid arthritis. Anti-tubercular treatment was started for patients with tubercular synovitis. Complete arthroscopic/open synovectomy followed by radiotherapy was carried out for patients with pigmented villonodular synovitis. Non-steroidal anti-inflammatory drugs are used for patients with acute on chronic inflammation. All patients had symptomatic relief and functional improvement in further follow-up. Discussion: Histopathological reporting remains the mainstay for diagnosis. The various differentials should always be kept in mind when approaching patients with chronic mono-articular synovitis. Specific treatment can be started once the diagnosis is confirmed.

scholarly journals A case of pigmented villonodular synovitis of the hip joint in rheumatoid arthritis.

1988 ◽  
Vol 37 (1) ◽  
pp. 234-238
Author(s):  
Kazunori Matsushita ◽  
Tatsuo Kutsuna ◽  
Takaki Kasahara ◽  
Shinichi Masukawa
Keyword(s):  
Rheumatoid Arthritis ◽  
Hip Joint ◽  
Pigmented Villonodular Synovitis ◽  
Villonodular Synovitis ◽  
Pigmented Villonodular
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