Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pigmented villonodular synovitis of the hip in systemic lupus erythematosus: a case report | Anders Journal of Medical Case Reports 2011 5 443 http content 5 1 443 JOURNALOF medical case reports CASE REPORT Open Access Pigmented villonodular synovitis of the hip in systemic lupus erythematosus a case report Hans-Joachim Anders Abstract Introduction Pigmented villonodular synovitis is a rare disease of unknown etiology mostly affecting the knee and foot. Until now an association with autoimmune diseases has not been reported. Case presentation The diagnosis of systemic lupus erythematosus was made in a 15-year-old Caucasian girl based on otherwise unexplained fatigue arthralgia tenosynovitis leukopenia low platelets and the presence of antinuclear and deoxyribonucleic antibodies. At the age of 20 a renal biopsy revealed lupus nephritis class IV and she went into complete remission with mycophenolate mofetil and steroids. She was kept on mycophenolate mofetil for maintenance therapy. At the age of 24 she experienced a flare-up of lupus nephritis with nephrotic syndrome and new onset of pain in her right hip. Magnetic resonance imaging arthroscopy and subtotal synovectomy identified pigmented villonodular synovitis as the underlying diagnosis. Although her systemic lupus erythematosus went into remission with another course of steroids and higher doses of mycophenolate mofetil the pigmented villonodular synovitis persisted and she had to undergo open synovectomy to control her symptoms. Conclusion Systemic lupus erythematosus is associated with many different musculoskeletal manifestations including synovitis and arthritis. Pigmented villonodular synovitis has not previously been reported in association with systemic lupus erythematosus but as its etiology is still unknown the present case raises the question about a causal relationship between systemic lupus erythematosus and pigmented villonodular synovitis. Introduction Pigmented villonodular synovitis PVNS is a rare monoarticular proliferative synovial disorder of unknown .
