Rheumatology and Rehabilitation Department, Mansoura University, Mansoura City, Egypt.
Mod Rheumatol Case Rep. 2021 Jul;5(2):246-249. doi: 10.1080/24725625.2020.1869509. Epub 2021 Jan 25.
To describe a unique presentation of fever and bilateral bicipital synovial cysts in young female with systemic juvenile idiopathic arthritis (SJIA). A previous healthy 5-year-old female presented with spiking fever and sudden painless bilateral swelling on the flexor aspect of the upper arm. Ultrasonography confirmed a cystic structure with multiple septae, thickening and tenosynovitis of bicipital tendon but without Doppler signals inside or shoulder synovitis, enlightens the term of non-articular synovitis. Thorough analysis of clinical manifestations, disease assessment measures, laboratory findings and imaging of arm swellings eventually disclosed unusual case of SJIA. Systemic juvenile idiopathic arthritis should be considered in case of spiking fever with bicipital synovial cysts. Ultrasound is a useful diagnostic tool in this condition.
描述一例幼年特发性关节炎全身型（SJIA）年轻女性发热伴双侧肱二头肌滑膜囊肿的特殊表现。一位既往健康的 5 岁女童突发高热，双侧上臂屈侧出现无痛性肿胀。超声检查证实存在多个分隔的囊性结构，肱二头肌肌腱增厚和腱鞘炎，但无内部多普勒信号或肩关节滑膜炎，提示非关节滑膜炎。对臂部肿胀的临床表现、疾病评估指标、实验室检查和影像学结果进行全面分析后，最终揭示了该例不典型的 SJIA。对于发热伴肱二头肌滑膜囊肿的患者应考虑 SJIA。超声检查是该疾病的一种有用的诊断工具。
