A Rare Benign Tumor With Diagnostic Difficulties: Synovial Chondromatosis

dc.contributor.authorYemisci, Oya Umit
dc.contributor.authorOzen, Selin
dc.contributor.authorKoseoglu, Hamide Kart
dc.contributor.orcID0000-0002-7290-8558en_US
dc.contributor.orcID0000-0002-0501-5127en_US
dc.contributor.pubmedID32851378en_US
dc.contributor.researcherIDABC-1305-2020en_US
dc.contributor.researcherIDAAJ-8820-2021en_US
dc.date.accessioned2021-06-16T11:47:22Z
dc.date.available2021-06-16T11:47:22Z
dc.date.issued2020
dc.description.abstractIn 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.en_US
dc.identifier.endpage277en_US
dc.identifier.issn2148-5046en_US
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85086651617en_US
dc.identifier.startpage274en_US
dc.identifier.urihttps://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=GeneralSearch&qid=2&SID=F5EdGJePIHidrWnWtjg&page=11&doc=546
dc.identifier.urihttp://hdl.handle.net/11727/6032
dc.identifier.volume35en_US
dc.identifier.wos000538169900016en_US
dc.language.isoengen_US
dc.relation.isversionof10.46497/ArchRheumatol.2020.7489en_US
dc.relation.journalARCHIVES OF RHEUMATOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectArthritisen_US
dc.subjectchondromatosisen_US
dc.subjecthipen_US
dc.subjectpsoriaticen_US
dc.subjectsynovialen_US
dc.titleA Rare Benign Tumor With Diagnostic Difficulties: Synovial Chondromatosisen_US
dc.typearticleen_US

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