Rice bodies: a rare presentation of tubercular arthritis of the knee joint

Ali, Nadeem; Bhat, Abid; Bangroo, Firdous Ahmad; Wani, Ajaz Hamid; Kalhan, Shivani; Dhanda, Manjeet Singh

doi:10.5455/pos.20160609035952

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…The rice bodies were first described by Riese in association with tuberculosis arthritis about a century ago [12]. They are termed as rice bodies because of their close resemblance with the shape and size of the polished rice grains.…”

Section: Discussionmentioning

confidence: 99%

Sonographic presentation of rice bodies in subacromial-subdeltoid chronic bursitis

2019

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Background subacromial-subdeltoid chronic bursitis is one of the main causes of shoulder pain syndrome. There are various causes of shoulder pain syndrome including chronic bursitis. The sonographic appearances of chronic bursitis vary from patient to patient, depending upon the underlying cause. However, rice bodies are the rare sonographic presentation among them. Rice bodies can be associated with atypical mycobacterial tenosynovitis, bursitis, mycobacterium tuberculosis and infections, but very rarely occur in the chronic subacromial-subdeltoid bursitis. Its unique sonographic presentation makes it easy to be diagnosed confidently, but it is difficult to be recognized, interpret and distinguish from other pathologies due to its rare occurrence. It is therefore intended to present this rare and interesting sonographic presentation of chronic subacromial-subdeltoid bursitis as a case report. Case-presentation A 36-year-old male suffering from swelling and pain on his left shoulder for 6 months came to the clinic with Grade-3 impingement syndrome. Free-floating echogenic rice bodies were identified in the subacromial-subdeltoid bursa during ultrasound examination, which was also confirmed with Magnetic resonance imaging (MRI) and serological tests of the specimen after surgery. Conclusion The unique sonographic presentation of rice bodies in the chronic subacromial-subdeltoid bursitis makes it easy to be diagnosed confidently, but it is difficult to be recognized, due to its rare occurrence. Electronic supplementary material The online version of this article (10.1186/s13089-019-0130-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Sonographic presentation of rice bodies in subacromial-subdeltoid chronic bursitis

2019

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Rice bodies in children with rheumatic disorders: A case series and systematic literature review

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et al. 2022

Modern Rheumatology

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Objectives Rice body (RB) formation is an uncommon inflammatory process seen in systemic disorders. In this study, we aimed to assess characteristic features of RBs in pediatric patients. Method We retrospectively evaluated pediatric patients who underwent joint/extremity magnetic resonance imaging (MRI). A systematic literature review was conducted for articles including children with RBs. Results We found 24 patients (median age 6.1 years; F/M=2.4) with RBs [23 with juvenile idiopathic arthritis (JIA) and one with arthralgia]. The most prevalent location for RBs was the knee joint (75%). RBs were most frequently seen as diffuse multiple millimetric structures. In three out of five patients with follow-up MRI, resolution or regression of RBs was observed without surgical intervention. Our literature search identified 13 pediatric patients with RBs. Most (84.6%) had JIA, and the knee joint (71.4%) was the most commonly affected joint. Surgery was preferred in our three patients (12.5%) and ten literature patients (83.3%) in the treatment. Conclusion Our results showed that RBs were most commonly detected in the knee joint, and most cases were secondary to JIA. Although surgery is used as a treatment option, we observed that RBs can occasionally disappear during follow-up without surgical intervention.

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Rice bodies: a rare presentation of tubercular arthritis of the knee joint

Cited by 2 publications

References 11 publications

Sonographic presentation of rice bodies in subacromial-subdeltoid chronic bursitis

Sonographic presentation of rice bodies in subacromial-subdeltoid chronic bursitis

Rice bodies in children with rheumatic disorders: A case series and systematic literature review

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