Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/3715
Title: A rare benign tumor with diagnostic difficulties: Synovial chondromatosis
Authors: Yemişçi, Oya Ümit
Özen, Selin
Köseoğlu, Hamide Kart
Keywords: Arthritis
chondromatosis
hip
psoriatic
synovial
Issue Date: 2020
Publisher: Turkish League Against Rheumatism (TLAR)
Source: Yemişçi, O. Ü., Ozen, S., & Köseoğlu, H. K. (2020). A Rare Benign Tumor With Diagnostic Difficulties: Synovial Chondromatosis. Turkish Journal of Rheumatology, 35(2), 274-277.
Abstract: In this article, we present a case of a 47-year-old male patient presenting with an insidious onset of hip pain and loss of range of motion. The patient was initially treated conservatively to no avail. Detailed investigations included magnetic resonance imaging of the left hip which revealed a synovitis. Blood results were unremarkable apart from moderately raised inflammatory markers. Differential diagnoses of both intra-and extra-articular hip pain were ruled out and the patient treated for a preliminary diagnosis of psoriatic arthritis for a total of six months. Persistent pain resulted in a re-visit of the diagnosis and further clinical evaluation. This time, an X-ray of the hip revealed calcification at the joint. A computed tomography followed and revealed synovial thickening and intra-articular calcification. A biopsy was consistent with primary synovial chondromatosis (SC). Open synovectomy was performed approximately one year after the onset of symptoms. This case emphasizes the importance of re-visiting initial evaluations and diagnoses when faced with a difficult case of persistent hip pain so to avoid misdiagnosis and unnecessary pharmacological treatment. In view of its rarity and diagnostic challenges, future work on SC should concentrate on gathering data which can be used to produce a diagnostic algorithm.
URI: https://search.trdizin.gov.tr/yayin/detay/363384
https://hdl.handle.net/20.500.11851/3715
https://archivesofrheumatology.org/full-text/1085
ISSN: 2148-5046
Appears in Collections:Dahili Tıp Bilimleri Bölümü / Department of Internal Medical Sciences
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
TR Dizin İndeksli Yayınlar / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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