Sinovitis por cuerpo extraño como causa de monoartritis / Synovitis for strange body like cause of monoarthritis

La sinovitis por cuerpo extraño es causa de monoatritis aguda o cronica y debe diferenciarse de procesos inflamatorios yuxtaarticulares. Para su correcto diagnostico se debe incluir evaluacion clinica, artrogenesis con cultivo del liquido sinovial y estudios por imagenes (AU)

Sinovitis por cuerpo extraño como causa de monoartritis / Synovitis for strange body like cause of monoarthritis

La sinovitis por cuerpo extraño es causa de monoatritis aguda o cronica y debe diferenciarse de procesos inflamatorios yuxtaarticulares. Para su correcto diagnostico se debe incluir evaluacion clinica, artrogenesis con cultivo del liquido sinovial y estudios por imagenes

Rugger-jersey vertebrae.

We present the case of a 71-year-old patient with rugger-jersey vertebrae who was referred to us with a tentative diagnosis of Paget's disease. After considering other conditions causing similar bone sclerosis, such as metastases, lymphoma, renal osteodystrophy, myelofibrosis, thalassemia, and Gaucher's disease, we agreed on a diagnosis of osteopetrosis. This is a rare entity of genetic origin, manifest by variable generalized symmetric skeletal sclerosis caused by defective bone resorption.

Remitting seronegative symmetrical synovitis with pitting edema.

We describe four patients who presented with seronegative inflammatory peripheral polyarthritis with pitting edema. All of these patients had spontaneous resolution of their disease over 9-18 months. None of them developed erosions or relapse after prolonged follow-up. Recognition of the features described may allow for conservative therapy with less toxic drugs.

Manifestaciones musculoesqueléticas asociadas con Acné Fulminans / Acne Fulminans associated to skeletal manisfestations

Se presenta un caso de Acne Fulminans en un varon de 15 años ,con lesiones previas de acné vulgar,que desarrolla un cuadro brusco de fiebre,disminución de peso,compromiso de su estado general, artralgias, sacroileitis, leucocitosis y HLA B27 positivo.Se lo trata con Prednisona 25 mg/día y antibióticos,controlando rápidamente su sintomatología.

Bilateral pleural effusion in a patient with urticarial vasculitis.

A 32-year-old woman with a 6-year history of urticaria, acute anterior uveitis and mesangial glomerulonephritis developed bilateral pleural effusion. A thorough laboratory workup during repeated attacks of concomitant urticaria and bilateral pleural effusion together with the histopathological finding of the skin biopsy revealed normocomplementemic leukocytoclastic vasculitis. Bilateral pleural effusion should be included in the clinical spectrum of urticarial vasculitis syndrome.

Fibromyalgia associated with female urethral syndrome.

Thirty-eight out of 212 patients (18%) with fibromyalgia met the criteria for the definition of female urethral syndrome (FUS). None of the patients from the control group met these criteria. The treatment for FUS was the same as that for fibromyalgia: cyclobenzaprine or diazepam and nonsteroidal anti-inflammatory drugs with a partial response in both pathologies. We should consider FUS in the evaluation of every patient with fibromyalgia.

Manifestaciones musculoesqueléticas asociadas con Acné Fulminans / Acne Fulminans associated to skeletal manisfestations

Se presenta un caso de Acne Fulminans en un varon de 15 años ,con lesiones previas de acné vulgar,que desarrolla un cuadro brusco de fiebre,disminución de peso,compromiso de su estado general, artralgias, sacroileitis, leucocitosis y HLA B27 positivo.Se lo trata con Prednisona 25 mg/día y antibióticos,controlando rápidamente su sintomatología.

Joint manifestations of Fabry's disease.

We describe 2 patients with Fabry's disease with disabling crises of burning pain in hands and feet. These crises were accompanied by fever and an elevation of the erythrocyte sedimentation which often led to erroneous diagnosis of other rheumatic conditions. Fabry's disease should be considered on the different diagnoses of intermittent rheumatic syndromes.

Bilateral pneumothorax and mediastinal emphysema in systemic lupus erythematosus.

The association of pneumothorax and mediastinal emphysema in systemic lupus erythematosus (SLE) has not been described extensively in the literature. We describe a 36 year-old man with SLE, complicated by bilateral pneumothorax, mediastinal emphysema and pneumoperitoneum. Despite the treatment received, he died of respiratory failure.

Rheumatoid nodulosis: a puzzling variant of rheumatoid arthritis.

Four patients with rheumatoid nodulosis are here described, together with a review of cases reported to date in the literature. This particular variant of rheumatoid arthritis (RA) is characterized by the presence of subcutaneous rheumatoid nodules, scanty or absent systemic manifestations and a clinically benign course. Joint involvement appears more commonly as palindromic rheumatism, although patients with arthralgia episodes alone and others with chronic polyarthritis have been described. Seldom reported up to now, a consideration of this entity may help to avoid diagnostic pitfalls and the use of aggressive therapy.

Kawasaki syndrome in a young adult.

Kawasaki syndrome is an idiopathic, febrile, exanthematous illness that primarily affects infants and children. We describe a 22-year-old white woman who fulfilled the clinical criteria for the diagnosis of Kawasaki syndrome.

The rheumatic manifestations of leprosy.

We investigated the rheumatic and laboratory features in 25 patients with Hansen's disease. Sixteen (64%) developed a broad range of rheumatic manifestations, the most common being a distinctive syndrome of swollen hands observed in 10 patients (66.5%). These manifestations were more frequent in patients with lepromatous leprosy. There was no correlation between articular clinical findings and X-ray or laboratory abnormalities. A careful clinical history and the recognition of rheumatic features will help to differentiate patients with leprosy and rheumatic manifestations from those with a primary rheumatic disease.

Lymphadenopathy secondary to silicone hand joint prostheses.

The occurrence of lymphadenopathies was investigated in 23 patients with diverse rheumatic conditions who had silastic prosthesis in joints of the hands, to determine whether these adenopathies were due to the presence of silicone particles. Five cases had clinically detectable lymph node enlargement and tissue samples were studied by light and scanning electron microscopy (SEM) and energy dispersive X-ray analysis (EDXA). In 3 out of the 5 cases foreign body granulomas were observed by light microscopy, SEM showing a highly irregular distribution of foreign body material with a peak for silicone by EDXA. Foreign body particle distribution closely correlated with silicone concentration. No granulomas were found in the two remaining patients with adenopathies who presented a non-specific reactive lymphadenitis. Our findings show that silicone lymphadenopathy is a more frequent complication (13%) of silastic arthroplasty than is usually recognized and therefore should be considered in the differential diagnosis of patients with lymph node enlargement who have previously received a silicone arthroplasty.