Olsen B S
Københavns Amts Sygehus i Gentofte, børneafdeling L.
Ugeskr Laeger. 1992 Feb 3;154(6):347-8.
The first Danish case report of a thorn-induced arthritis is presented. The symptoms and histopathology are similar to those in the cases described in foreign literature. The clinical presentation is that of transient acute synovitis, followed by an asymptomatic period, and later by a period of persistent symptoms, often after the thorn injury was forgotten. Histopathology shows granulomatous synovitis. Synovectomy and removal of the plant thorn usually results in normal joint function. The diagnosis should be remembered in undiagnosed cases of monoarticular arthritis.
本文呈现了丹麦首例关于刺诱发关节炎的病例报告。其症状和组织病理学与国外文献中描述的病例相似。临床表现为短暂性急性滑膜炎,随后是无症状期,之后常是持续症状期,且往往是在刺伤被遗忘之后出现。组织病理学显示为肉芽肿性滑膜炎。滑膜切除术和取出植物刺通常可使关节功能恢复正常。在单关节关节炎的未确诊病例中应考虑到这一诊断。