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A Case of Pigmented Villonodular Synovitis Misdiagnosed as Seronegative Rheumatoid Arthritis

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Abstract :

Key Words :

A Case of Pigmented Villonodular Synovitis Misdiagnosed as Seronegative Rheumatoid Arthritis

Sang Woo Lee, M.D., Seung Taek Lim, M.D., Jong Keun Kim, M.D., Young Ho Kim, M.D., Jun Hyuk Seo, M.D., Jun Cheol Yoon, M.D.,

Chan Woo Lee, M.D., Dong Ho Oh, M.D., Jae Wook Lee, M.D. , Gi Hyuk Moon, M.D. , Ae Lan Paik, M.D.

Departments of Internal Medicine, Department of Orthopedic Surgery ,

and Department of Pathology , Pohang Saint Mary s Hospital, Pohang, Kyungpook, Korea

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Fig. 1. Knee AP shows nonspecific findings.

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Fig. 2. Knee MRI (T2WI) shows dark signal intensity in synovial thickening area due to hemosiderin deposition.

Fig. 3. Arthroscopy shows yellowish-brown colored large villi and synovial hypertrophy.

Fig. 4. Light microscoprc finding of the synovium shows hemosiderin-laden macrophages, multinucleated giant cells and villous patterned synovial proliferation (H&E stain, x 100).

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1. Rydholm U. Pigmented villonodular synovitis. Acta

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Orthop Scand 1998;69:203-10.

2. Parikh SN, Chen AL, Ergas E. Localized pigmented villonodular synovitis: arthroscopic diagnosis and management of an invisible lesion. Arthroscopy 2002;18:E31.

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localized pigmented villonodular synovitis and ganglion cyst of the anterior cruciate ligament.

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10. Tatari H, Baran O, Lebe B, Kilic S, Manisali M, Havitcioglu H. Pigmented villonodular synovitis of the knee presenting as a popliteal cyst. Arthroscopy 2000;16:13.

11. Chin KR, Barr SJ, Winalski C, Zurakowski D, Brick GW. Treatment of advanced primary and recurrent diffuse pigmented villonodular synovitis of the knee. J Bone Joint Surg Am 2002;84:2192-202.

수치

Fig. 1. Knee AP shows nonspecific findings.
Fig. 2. Knee MRI (T2WI) shows dark signal intensity in synovial thickening area due to hemosiderin deposition.

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관련 문서

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation and Translation..

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation and Translation..

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation and

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation and Translation?.

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation and

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation and Translation..

A thesis submitted in partial fulfillment of the requirement for the degree of Master of Interpretation and Translation.. February