Synovial osteochondromatosis mimicking juvenile idiopathic arthritis in an adolescent: a case-based review
Issued Date
2022-08-01
Resource Type
ISSN
07703198
eISSN
14349949
Scopus ID
2-s2.0-85131091910
Pubmed ID
35641775
Journal Title
Clinical Rheumatology
Volume
41
Issue
8
Start Page
2571
End Page
2580
Rights Holder(s)
SCOPUS
Bibliographic Citation
Clinical Rheumatology Vol.41 No.8 (2022) , 2571-2580
Suggested Citation
Yothakol N., Charuvanij S., Siriwanarangsun P., Lertwanich P., Muangsomboon S., Sukharomana M. Synovial osteochondromatosis mimicking juvenile idiopathic arthritis in an adolescent: a case-based review. Clinical Rheumatology Vol.41 No.8 (2022) , 2571-2580. 2580. doi:10.1007/s10067-022-06224-w Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/87274
Title
Synovial osteochondromatosis mimicking juvenile idiopathic arthritis in an adolescent: a case-based review
Author's Affiliation
Other Contributor(s)
Abstract
Synovial osteochondromatosis is an extremely rare benign condition in children and adolescents that have joint pain as a presenting manifestation. It is usually monoarticular with the knee as the most common affected joint. In this article, we describe the case of a female adolescent suffering from debilitating chronic right knee pain initially mimicking juvenile idiopathic arthritis, who was subsequently diagnosed with primary synovial osteochondromatosis. We present a review of synovial osteochondromatosis focusing on the clinical manifestations, radiographic features, histopathologic findings, and treatment, with a summarized review of pediatric patients with initial musculoskeletal presentations who were ultimately diagnosed as synovial osteochondromatosis. Although synovial osteochondromatosis is rare in children and adolescents, this condition should be included in the differential diagnosis of joint pain and may mimic juvenile idiopathic arthritis. Appropriate diagnostic radiography, including both plain radiography and magnetic resonance imaging, is necessary to accurately diagnose this condition. We also emphasize the importance of a multidisciplinary team approach to managing patients with synovial osteochondromatosis.