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Wang L, Jin Y, Huang H, Yang Z, Ding F, Xu X, Liu C, Bao S, Han X, Ma J, Jin Y, Cai H. Rice body synovitis in pediatrics: three different case reports. Front Pediatr 2024; 12:1391229. [PMID: 38938505 PMCID: PMC11210276 DOI: 10.3389/fped.2024.1391229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 05/13/2024] [Indexed: 06/29/2024] Open
Abstract
Rice body synovitis (RBS) is a rare disease, especially in children. Rheumatoid disorders and tuberculosis are the first two reasons for the formation of the RB. The diagnosis is mainly based on imaging and histopathological features. Herein, we report three cases of RBS in children diagnosed with congenital synovial chondromatosis, tuberculosis (unconfirmed), and ANA -positive juvenile idiopathic arthritis. Clinical features, radiographic findings, pathophysiology, treatment process, and prognosis were reviewed and documented meticulously to enhance cognition in this population and provide some references for clinicians in diagnosing and treating the disease.
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Affiliation(s)
- Liping Wang
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Yingying Jin
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Hua Huang
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Zhen Yang
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Fei Ding
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Xuemei Xu
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Chenxi Liu
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Shengfang Bao
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Xiqiong Han
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Jing Ma
- Department of Pathology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Yanliang Jin
- Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Haiqing Cai
- Department of Orthopedic, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
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Yu H, Yang M, Pu D, Luo S. Wrist rice-body bursitis in a patient without rheumatism and tuberculosis. Asian J Surg 2024; 47:2860-2861. [PMID: 38378422 DOI: 10.1016/j.asjsur.2024.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 02/07/2024] [Indexed: 02/22/2024] Open
Affiliation(s)
- Hao Yu
- Medical School of Jishou University, Jishou, Hunan, 416000, China; Department of Orthopedics, Hunan University of Medicine General Hospital, Huaihua, Hunan, 418000, China; Institution of Orthopedics, Jishou University, Huaihua, Hunan, 418000, China
| | - Maosheng Yang
- Laboratory of Disorders Genes and Department of Pharmacology Jishou University School of Pharmacy, Jishou, Hunan, 416000, China
| | - Dan Pu
- Department of Orthopedics, Hunan University of Medicine General Hospital, Huaihua, Hunan, 418000, China; Institution of Orthopedics, Jishou University, Huaihua, Hunan, 418000, China
| | - Shunhong Luo
- Department of Orthopedics, Hunan University of Medicine General Hospital, Huaihua, Hunan, 418000, China; Institution of Orthopedics, Jishou University, Huaihua, Hunan, 418000, China.
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Tian Y, Hu J, Xia Q, Han D. Rice body synovitis in systemic lupus erythematosus. Rheumatol Int 2023:10.1007/s00296-023-05426-y. [PMID: 37632525 DOI: 10.1007/s00296-023-05426-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 08/07/2023] [Indexed: 08/28/2023]
Abstract
Rice bodies (RBs) synovitis in the shoulder joints of systemic lupus erythematosus patients is a rare clinical condition that has not been previously reported. Despite the fact that the diagnosis of RBs synovitis has primarily relied on MRI imaging, ultrasound has been used less frequently. In this report, we discuss a 43-year-old female diagnosed with systemic lupus erythematosus who presented with pain and swelling in the right shoulder. The ultrasound findings were typical, and the patient was diagnosed with RBs synovitis, as she had no history of tuberculosis or rheumatoid arthritis. Subsequently, the patient underwent ultrasound-guided percutaneous biopsy and surgical excision, which led to a good postoperative outcome. Based on this case, a literature review of RBs synovitis over the past 2 decades indicates that rice bodies synovitis is rare in clinical presentation accompanied by SLE. Moreover, ultrasound has not been extensively employed for diagnosing this condition. It is important to note the pivotal role of ultrasound in detecting RBs synovitis, and it should be the preferred method for early detection. Therefore, ultrasound physicians should be well informed about this condition to enhance diagnostic precision.
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Affiliation(s)
- Youyou Tian
- Department of Ultrasound Diagnosis, Daping Hospital, Army Military Medical University, 10 Changjiang Branch Road, Yuzhong District, Chongqing, 400022, China
- Department of Ultrasound Diagnosis, Yinjiang Autonomous Country Hospital, Yinjiang Autonomous Country, Tongren, Guizhou Province, China
| | - Jiayin Hu
- Department of Ultrasound Diagnosis, Daping Hospital, Army Military Medical University, 10 Changjiang Branch Road, Yuzhong District, Chongqing, 400022, China
| | - Qin Xia
- Department of Ultrasound Diagnosis, Daping Hospital, Army Military Medical University, 10 Changjiang Branch Road, Yuzhong District, Chongqing, 400022, China
| | - Dong Han
- Department of Ultrasound Diagnosis, Daping Hospital, Army Military Medical University, 10 Changjiang Branch Road, Yuzhong District, Chongqing, 400022, China.
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Qi W, Ren Y, Wang H, Wan Y, Pan H, Yao J. Candida parapsilosis-Caused Arthritis with Rice Body Formation: A Case Presentation and Literature Review. Infect Drug Resist 2023; 16:4123-4135. [PMID: 37396064 PMCID: PMC10312336 DOI: 10.2147/idr.s416990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 06/15/2023] [Indexed: 07/04/2023] Open
Abstract
A 68-year-old male patient came to the orthopedics department because of swelling and pain in his left shoulder joint. He received more than 15 intraarticular steroid injections in the shoulder joint at a local private hospital. MRI showed that the synovial membrane of the joint capsule was thickened and swollen, and there were extensive "rice body-like" low T2 signal shadows filling. Arthroscopic removal of rice bodies and subtotal bursectomy were performed. The observation channel was placed through the posterior approach, and a large amount of rice bodies in yellow bursa fluid were observed to flow out. Rice bodies with a diameter of approximately 1-5 mm filled the joint cavity were seen in the observation channel. The histopathological examination of the rice body showed that it was mainly composed of fibrin without a clear tissue structure. Bacterial and fungal cultures of synovial fluid suggested Candida parapsilosis infection, so the patient received antifungal treatment. However, the shoulder swelled again after three weeks, MRI revealed that there was significant fluid accumulation in the subacromial-subdeltoid region with necrotic synovial tissue floating and ultrasound examination showed joint cavity effusion, synovial hyperplasia, and some synovium looked like "floating weeds". After 2 weeks, there were recurrent rice bodies in the articular cavity. Arthroscopic surgery was performed again to clean the joint and a catheter was placed for irrigation and drainage, and a large amount of necrotic synovial tissue floating as seen in ultrasound. Finally, patient received sensitive antifungal treatment and did not relapse within 6 months. During the recurrence in the current case, we recorded the process of rice body formation, which has for the first time been reported.
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Affiliation(s)
- Weihui Qi
- Department of Orthopaedics, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, People’s Republic of China
- Department of Orthopaedics, Hangzhou Ding Qiao Hospital, Hangzhou, People’s Republic of China
| | - Yanyun Ren
- Department of Stomatology No. 903 Hospital of PLA, Hangzhou, People’s Republic of China
| | - Huang Wang
- Department of Orthopaedics, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, People’s Republic of China
- Department of Orthopaedics, Hangzhou Ding Qiao Hospital, Hangzhou, People’s Republic of China
| | - Yue Wan
- Department of Stomatology No. 903 Hospital of PLA, Hangzhou, People’s Republic of China
| | - Hao Pan
- Department of Orthopaedics, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, People’s Republic of China
- Department of Orthopaedics, Hangzhou Ding Qiao Hospital, Hangzhou, People’s Republic of China
| | - Jun Yao
- Department of Orthopaedics, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, People’s Republic of China
- Department of Orthopaedics, Hangzhou Ding Qiao Hospital, Hangzhou, People’s Republic of China
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Unusual presentation of rice body formation in a patient without tuberculosis or rheumatic disease: report of a rare case and literature review. CURRENT ORTHOPAEDIC PRACTICE 2020. [DOI: 10.1097/bco.0000000000000871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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