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Pediatric Rheumatology
Published in: Pediatric Rheumatology 1/2018

Open Access 01-12-2018 | Case Report

Pigmented villonodular synovitis in pediatric population: review of literature and a case report

Authors: Mohsen Karami, Mehryar Soleimani, Reza Shiari

Published in: Pediatric Rheumatology | Issue 1/2018

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Abstract

Background

Pigmented villonodular synovitis (PVNS) is a rare proliferative process in children that mostly affects the knee joint.

Case Presentation

The study follows the case of a 3-year-old boy presenting recurrent patellar dislocation and PVNS. Due to symptoms such as chronic arthritis, he had been taking prednisolone and methotrexate for 6 months before receiving a definitive diagnosis. After a period of showing no improvements from his treatment, he was referred to our center and was diagnosed with local PVNS using magnetic resonance imaging (MRI). The patient was treated for his patellar dislocation by way of open synovectomy, lateral retinacular release, and a proximal realignment procedure, with no recurrence after a 24-month follow-up.

Conclusion

PVNS may appear with symptoms resembling juvenile idiopathic arthritis, thus the disease should be considered in differential diagnosis of any inflammatory arthritis in children. PVNS may also cause mechanical symptoms such as patellar dislocation. In addition to synovectomy, a realignment procedure can be a useful method of treatment.
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Metadata
Title
Pigmented villonodular synovitis in pediatric population: review of literature and a case report
Authors
Mohsen Karami
Mehryar Soleimani
Reza Shiari
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Pediatric Rheumatology / Issue 1/2018
Electronic ISSN: 1546-0096
DOI
https://doi.org/10.1186/s12969-018-0222-4

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