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혈청음성 류머티스관절염으로 오인된 색소성 융모결절윤활막염 1례

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Author(s)
이상우임성택김종근김영조서준혁윤준철이찬우오동호이재욱문기혁백애란
Journal Title
Keimyung Medical Journal
Issued Date
2004
Volume
23
Issue
1
Keyword
Arthroscopic synovectomyPigmented villonodular synovitis
Abstract
Pigmented villonodular synovitis is a uncommon benign proliferative disorder affecting the synovial membrane of joint, bursa and tendon sheath. The etiology is not apparent, however chronic inflammation and trauma may be the cause. The preferred lesions include joints of the lower extremity, especially the knee or hip, and commonly involves one joint. The presented case is a 23-year-old female with right knee pain and swelling for 2 years. Initially, she was diagnosed as seronegative rheumatoid arthritis. After medical treatment, however her symptom was not resolved. Arthrocentesis of her right knee showed bloody effusion, therefore we performed knee MRI arthroscopy for further evaluation. Knee MRI showed bursitis with synovial cysts, synovitis, joint effusion and bone erosion. On arthroscopy, yellowish-brown colored hypertrophied synovium was noted, and arthroscopic synovectomy was performed. Histologically, fibrous stroma, hemosiderin deposits, multinucleated giant cell and foam cells were found. Biopsy result was consistent with pigmented villonodular synovitis.
Alternative Title
A Case of Pigmented
Villonodular Synovitis Misdiagnosed as Seronegative Rheumatoid Arthritis
Publisher
Keimyung University School of Medicine
Citation
이상우 et al. (2004). 혈청음성 류머티스관절염으로 오인된 색소성 융모결절윤활막염 1례. Keimyung Medical Journal, 23(1), 52–56.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15320
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2004
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