RESUMO
BACKGROUND: Synovial chondromatosis is an uncommon benign condition characterized by synovial membrane proliferation and metaplasia. Synovial chondromatosis cases in patients with rheumatoid arthritis have been reported. However, involvement of the glenohumeral joint is rare. CASE PRESENTATION: We herein report a case of a rare association of synovial chondromatosis involving the shoulder in a rheumatoid arthritis patient. The symptoms have improved with anti-tumor necrosis factor drugs. Consequently, there was no need for invasive therapy to treat synovial chondromatosis. CONCLUSION: Synovial chondromatosis can be aggressive and destructive. More trials are needed to establish a better clinical diagnostic strategy and pharmacological management.
Assuntos
Artrite Reumatoide , Condromatose Sinovial , Articulação do Ombro , Humanos , Ombro/patologia , Condromatose Sinovial/diagnóstico por imagem , Condromatose Sinovial/patologia , Articulação do Ombro/diagnóstico por imagem , Membrana Sinovial , Artrite Reumatoide/complicações , Artrite Reumatoide/patologiaRESUMO
Longstanding osteomalacia, by its proliferative enthesopathic changes, may mimic the advanced features of SpA. Despite the typical radiological findings, the lack of response to anti-TNF should encourage clinicians to reconsider the diagnosis.
