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Clinical Rheumatology
Published in: Clinical Rheumatology 2/2008

01-12-2008 | Case Report

Formation of numerous rice bodies: an unusual finding of adult-onset Still’s disease

Authors: Kang-Min Lin, Jenn-Haung Lai, Chi-Ching Chang, Chih-Kung Lin, Deh-Ming Chang, Chen-Hung Chen

Published in: Clinical Rheumatology | Special Issue 2/2008

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Abstract

Adult-onset Still’s disease (AOSD) is an inflammatory disorder characterized by high-spiking fever, arthritis, and an evanescent rash. The pattern of chronic arthritis is a universal feature of AOSD. However, chronic bursitis with the formation of numerous rice bodies is a very rare presentation in a patient with AOSD. To our knowledge, no case of formation of numerous rice bodies in AOSD has been reported thus far. We describe the case of a 28-year-old man with AOSD with rice bodies in his left shoulder joint.
Literature
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Efthimiou P, Paik PK, Bielory L (2006) Diagnosis and management of adult onset Still’s disease. Ann Rheum Dis 65(5):564–572PubMedCrossRef
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Popert AJ, Scott DL, Wainwright AC et al (1982) Frequency of occurrence, mode of development, and significance of rice bodies in rheumatoid joints. Ann Rheum Dis 41(2):109–117PubMedCrossRef
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Yamaguchi M, Ohta A, Tsunematsu T et al (1992) Preliminary criteria for classification of adult Still’s disease. J Rheumatol 19:424–430PubMed
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Pouchot J, Sampalis JS, Beaudet F et al (1991) Adult Still’s disease: manifestations, disease course, and outcome in 62 patients. Medicine 70:118–136PubMedCrossRef
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Reise H (1895) Die Reiskorpschen in tuberculs erkranken synovalsacken [in German]. Dtsch Z Chir 42:1
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Chau CLF, Griffith JF, Chan PT, Lui TH et al (2003) Rice-body formation in atypical mycobacterial tenosynovitis and bursitis: findings on sonography and MRI imaging. Am J Roentgenol 180(5):1455–1459
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Cheung HS, Ryan LM, Kozin F et al (1980) Synovial origins of rice bodies in joint fluid. Arthritis Rheum 23(1):72–76PubMedCrossRef
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Tyllianakis M, Kasimatis G, Athanaselis S, Melachrinou M (2006) Rice-body formation and tenosynovitis of the wrist: a case report. J Orthop Surg 14(2):208–211
Metadata
Title
Formation of numerous rice bodies: an unusual finding of adult-onset Still’s disease
Authors
Kang-Min Lin
Jenn-Haung Lai
Chi-Ching Chang
Chih-Kung Lin
Deh-Ming Chang
Chen-Hung Chen
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue Special Issue 2/2008
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-008-0900-6

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