Bilateral recurrent wrist flexor tenosynovitis and rice body formation in a patient with sero-negative rheumatoid arthritis: A case report and review of literature

Iyengar, Karthikeyan P; Manickavasagar, Tharjan; Nadkarni, Jayant; Mansour, Paul; Loh, William Y. C.

doi:10.1016/j.ijscr.2011.07.001

Cited by 26 publications

(23 citation statements)

References 22 publications

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“…In rheumatoid arthritis, rice bodies are often observed in the subacromial bursa but are uncommon in the tendon sheaths, as was seen in this patient. In this case, the personal medical history, histopathologic findings, PCR studies and cultures all excluded the diagnosis of tuberculosis …”

Section: Discussionmentioning

confidence: 99%

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Tenosynovitis with rice body formation presenting as a cutaneous abscess

et al. 2014

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A 62-year-old woman with a past medical history of rheumatoid arthritis was referred to the Department of Dermatology because of an enlarging cutaneous lesion on the right thumb which resembled a soft tissue infection. She had received antibiotics without significant improvement. Clinical examination revealed an erythematous nodule involving almost the whole surface of the distal phalanx with spontaneous drainage of countless of small yellowish ovoid granules. Histopathologic study of these structures showed an inner core of amorphous acidophilic material with some interspersed chronic inflammatory cells and a surrounding thin fibrin layer. Special stains and cultures were negative for parasites, bacterium and mycobacterium. Magnetic resonance imaging (MRI) revealed distension of the first and fifth finger flexor sheaths and common finger flexor sheath. These areas were filled by fluid and multiple small nodular lesions. A diagnosis of non-infectious rice body tenosynovitis was rendered and surgical removal was performed. Total recovery was observed with no evidence of recurrence after 6 months of follow-up. To our knowledge, this is the first report of rice body tenosynovitis presenting as a pseudoinflammatory cutaneous lesion with evolution to a cutaneous fistula with drainage of rice grain-like structures. The description of this impressive and peculiar clinical and histopathologic picture is important to further recognize similar cases.

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Section: Discussionmentioning

confidence: 99%

“…Because multiple rice body formation involving the tendon sheath is rare, limited information exists regarding therapy. However, tenosynovectomy is performed to avoid complications such as tendon rupture and persisted motility restriction …”

Section: Discussionmentioning

confidence: 99%

Tenosynovitis with rice body formation presenting as a cutaneous abscess

et al. 2014

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“…These changes, occurring on both sides, can cause bilateral CTS. Some of additional intracarpal masses are result of systemic diseases such as rheumatoid disease (granuloma), gout (deposits) or haemophilia (organized hae-matomas) [38][39][40]. These forms should be separated from the purely idiopathic bilateral ones, as they are caused by relevant anatomical or pathological structures occupying space in both carpal tunnels.…”

Section: 5mentioning

confidence: 99%

Bilateral carpal tunnel syndrome – A review

Dec

Żyluk

2018

Neurologia i Neurochirurgia Polska

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Carpal tunnel syndrome (CTS) is the most common upper extremity compressive neuropathy, with a prevalence of 3%-5% in the general population, and 6% in the group of females over the age of 40. It occurs about five times more common in females, with 2 peaks observed, in the 6th and 8th decades of life. Bilateral manifestation is more common than unilateral (60%), but significantly more often begins or is more strongly expressed in the dominant hand. Possible anatomical abnormalities underlying the development of CTS account for about 5% of cases. More and more scientific data confirm the significant role of central nervous system processes (including central sensitization) in the development of carpal tunnel syndrome, and changes in central nervous system body somatotopic representation, resulting from prolonged median nerve pathology, are described in consistence with the brain plasticity concept. This central involvement of bilateral CTS may explain that a proportion of patients following surgery for one hand experience improvement also in the non-operated hand.

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“…In addition, the condition has been reported in association with other diseases, such as sero-negative rheumatoid arthritis, atypical mycobacterial arthritis, and nonspecific arthritis (5-11). However, to the best of our knowledge, rice body formation in Candida septic arthritis has not been previously reported.…”

Section: Introductionmentioning

confidence: 99%

CandidaSeptic Arthritis with Rice Body Formation: A Case Report and Review of Literature

et al. 2013

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Rice body formation in a joint or bursa is a rare condition, and is usually associated with rheumatoid arthritis or tuberculous arthritis. Here we describe a case of multiple rice body formation in a shoulder joint and in adjacent bursae, which was confirmed to be due to septic arthritis by Candida species. To the best of our knowledge, rice body formation in Candida septic arthritis in an immune-competent patient has not been previously reported.

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Bilateral recurrent wrist flexor tenosynovitis and rice body formation in a patient with sero-negative rheumatoid arthritis: A case report and review of literature

Abstract: Rice body formation can be caused by sero-negative arthritis. Bilateral wrist flexor tensosynovitis can recur within five months of a previous synovectomy in a patient with sero-negative arthritis.

Cited by 26 publications

References 22 publications

Tenosynovitis with rice body formation presenting as a cutaneous abscess

Tenosynovitis with rice body formation presenting as a cutaneous abscess

Bilateral carpal tunnel syndrome – A review

CandidaSeptic Arthritis with Rice Body Formation: A Case Report and Review of Literature

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