Reginato A J, Ferreiro J L, O'Connor C R, Barbasan C, Arasa J, Bednar J, Soler J
Cooper Hospital/University Medical Center, Department of Medicine, Camden, NJ 08103.
Arthritis Rheum. 1990 Dec;33(12):1753-62. doi: 10.1002/art.1780331201.
Foreign body synovitis has been neglected in the rheumatology literature. We describe 26 patients in whom arthritis, bursitis, or tenosynovitis appeared within 1 day to 7 years after an initial injury by a penetrating foreign body. Twenty-two patients presented with acute synovitis, which was followed by chronic or recurrent inflammation mimicking septic arthritis, osteomyelitis, monarticular juvenile rheumatoid arthritis, bone tumor, or apatite deposition disease. Foreign bodies were not seen in 5 inflammatory synovial fluids studied, but were seen in the synovium or periarticular tissues of 17 patients. Excisional biopsy was required in most patients for precise diagnosis and treatment.
异物性滑膜炎在风湿病学文献中一直被忽视。我们描述了26例患者，他们在被穿透性异物初次损伤后的1天至7年内出现关节炎、滑囊炎或腱鞘炎。22例患者表现为急性滑膜炎，随后出现类似化脓性关节炎、骨髓炎、单关节幼年类风湿关节炎、骨肿瘤或磷灰石沉积病的慢性或复发性炎症。在所研究的5份炎性滑液中未发现异物，但在17例患者的滑膜或关节周围组织中发现了异物。大多数患者需要进行切除活检以进行精确诊断和治疗。
