Document Detail

Plant thorn synovitis.
MedLine Citation:
PMID:  869959     Owner:  NLM     Status:  MEDLINE    
Five children with an inflammatory monarthritis due to penetration of the joint by plant thorns are presented. The clinical presentation was that of a transient acute synovitis followed by a relatively asymptomatic period, and later by chronic arthritis often after the thorn injury was forgotten. Histopathology demonstrated a granulomatous synovitis. Polarized light microscopy facilitated identification of the plant tissue within the synovium. Conservative medical therapy was ineffective, but surgical excision of the affected synovium resulted in normal joint function. The differential diagnosis of monarthritis in children in extensive, and awareness of this condition is necessary to elicit a comprehensive history and to avoid delay in treatment.
M Sugarman; D G Stobie; F P Quismorio; R Terry; V Hanson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Arthritis and rheumatism     Volume:  20     ISSN:  0004-3591     ISO Abbreviation:  Arthritis Rheum.     Publication Date:  1977 Jun 
Date Detail:
Created Date:  1977-07-29     Completed Date:  1977-07-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370605     Medline TA:  Arthritis Rheum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1125-8     Citation Subset:  AIM; IM    
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MeSH Terms
Arthritis / etiology,  pathology,  surgery
Child, Preschool
Chronic Disease
Diagnosis, Differential
Foreign Bodies* / diagnosis,  pathology
Knee Joint*
Synovitis / etiology*,  pathology,  surgery

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