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| http://dx.doi.org/10.11604/pamj.2017.26.100.11683 | DOI Listing |
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Persistent Knee Monoarthritis as a Lyme Disease Presentation: A Diagnostic Challenge - Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Hospital Ortopédico de Sant'Ana, Parede, Portugal.
There are several differential diagnoses for knee monoarthritis. We report a patient with recurrent episodes of knee effusion, in which the non-specific clinical condition implied several diagnostic hypotheses, therapeutic inaccuracies, and a delay in implementing adequate treatment. For more than 2 years, the patient underwent different Orthopedics and Rheumatology visits.
View Article and Find Full Text PDFSynovial sarcoma masquerading as juvenile idiopathic arthritis.
BMJ Case Rep
December 2024
Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Article Synopsis
- An early adolescent girl experienced chronic monoarthritis and was initially misdiagnosed with skeletal tuberculosis, leading to ineffective treatment.
- As her condition worsened over four months, doctors suspected juvenile idiopathic arthritis but later found stronger signs of a serious issue after imaging showed synovitis and necrotising myositis.
- A biopsy ultimately confirmed she had synovial sarcoma with metastasis, and despite a timely diagnosis, she tragically passed away from the illness.
Utility of virtual reality in medical training: Clinical management of a patient with knee monoarthritis.
Reumatol Clin (Engl Ed)
December 2024
Departamento de Anatomía Humana, Facultad de Medicina, Universidad de Salamanca, Salamanca, Spain.
The use of technological environments with virtual reality (VR) techniques for the practice of arthrocentesis offers an effective and safe way to learn and improve the necessary skills to carry out a medical procedure and patient care. This article presents an interactive simulator using immersive VR, in which the participant experiences practicing clinical management and decision-making in the face of a person presenting with monoarthritis in a medical consultation. The objective with this development is for the user to acquire the competence to perform, correctly and safely, a knee arthrocentesis and to differentiate the types of synovial fluids that can be found in a joint.
View Article and Find Full Text PDFThe effect of radiation synovectomy with phosphorus-32 on the pain and swelling in 31 RA patients with resistant monoarthritis of the knee.
Clin Rheumatol
September 2024
Guilan Rheumatology Research Center, Department of Rheumatology, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by symmetric polyarthritis. RA is routinely treated by various systemic drugs; on the other hand, administration of intra-articular corticosteroids or different types of synovectomies can be used in case of systemic medication's failure. Chemical, radio isotopic, and surgical synovectomies are being used as therapeutic options for chronic synovitis to improve joint function.
View Article and Find Full Text PDFMicrowave ablation of synovial hypertrophy in recurrent monoarthritis: The results of extended cohort and long-term follow-up.
Rheumatology (Oxford)
June 2024
Department of Rheumatology, University of Health Sciences Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.
Objectives: Recurrent monoarthritis (RM) is a major challenge of many rheumatic diseases. Ablation is a well-known technique in the treatment of benign or malign lesions of different etiologies. We aimed to to investigate the success and safety of microwave ablation (MWA) as an adjunctive therapy in a cohort of medical treatment-resistant RM.
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