Tanemura Atsushi, Yamaguchi Yuji, Kubo Tateki, Yano Kenji, Itami Satoshi
Department of Dermatology, Osaka University Graduate School of Medicine, Osaka, Japan.
Dermatol Surg. 2002 Dec;28(12):1177-9. doi: 10.1046/j.1524-4725.2002.02120.x.
Bursitis frequently occurs in the various conditions of autoimmune disorders including rheumatoid arthritis, but there have been few cases of effusive bursitis in systemic sclerosis.
To present a case of systemic sclerosis with multiple bursitis on upper, lower extremities, and trunk with or without joint involvement.
Case report and review of the literature.
Multiple asymptomatic cystic masses contained yellow and chalky sterile fluid, all of which were diagnosed as effusive bursitis. Most of them were treated with a surgical resection, a continuous drainage, and an injection of highly concentrated ethanol into their internal spaces. However, an intrabursal injection of emulsified triamcinolone acetonide was the only effective treatment for the giant mass that occurred on the right chest wall.
Successful treatment of multiple bursal cysts with systemic sclerosis was presented.
滑囊炎常见于包括类风湿关节炎在内的各种自身免疫性疾病中，但系统性硬化症患者出现渗出性滑囊炎的病例较少。
报告1例系统性硬化症患者，其上肢、下肢及躯干出现多发性滑囊炎，伴或不伴关节受累。
病例报告及文献复习。
多个无症状囊性肿块内含有黄色乳状无菌液体，均被诊断为渗出性滑囊炎。大多数肿块采用手术切除、持续引流及向内部间隙注射高浓度乙醇进行治疗。然而，囊内注射曲安奈德乳剂是治疗右胸壁巨大肿块的唯一有效方法。
本文介绍了系统性硬化症多发性滑囊囊肿的成功治疗方法。
