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. 1975 Jun;34(3):269–272. doi: 10.1136/ard.34.3.269

Pigmented villonodular synovitis in multiple joints. Occurrence in a child with cavernous haemangioma of lip and pulmonary stenosis.

J Leszczynski,, J R Huckell, J S Percy, J C LeRiche, B C Lentle
PMCID: PMC1006410  PMID: 1155985

Abstract

A case is presented of pigmented villonodular synovitis involving three joints in a 7-year-old girl. The diagnosis was confirmed at surgery and by histology. The patient also exhibited a haemangioma of the upper lip and a congenital pulmonary stenosis of mild degree. Subtotal synovectomy of the right knee and of both ankles was performed. The lesion recurred in both ankles after 6 months. Review of the literature failed to reveal any previous report of multiple joint involvement by pigmented villonodular synovitis in childhood and it appears that simultaneous involvement of three joints has not previously been described. Scintiscanning with 99mTc stannous pyrophosphate showed increased vascularity of the involved joints immediately after injection, but no increased osteoblastic activity was seen on the delayed scan. This radionuclide scanning technique is therefore helpful in distinguishing pigmented villonodular synovitis from other arthropathies.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berry H., Browett J. P., Huskisson E. C., Bacon P. A., Willoughby D. A. Measurement of inflammation. I. Application of technetium clearance to rheumatoid arthritis and animal models. Ann Rheum Dis. 1973 Mar;32(2):95–98. doi: 10.1136/ard.32.2.95. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bobechko W. P., Kostiuk J. P. Childhood villonodular synovitis. Can J Surg. 1968 Oct;11(4):480–486. [PubMed] [Google Scholar]
  3. Byers P. D., Cotton R. E., Deacon O. W., Lowy M., Newman P. H., Sissons H. A., Thomson A. D. The diagnosis and treatment of pigmented villonodular synovitis. J Bone Joint Surg Br. 1968 May;50(2):290–305. [PubMed] [Google Scholar]
  4. CLARK W. S. Pigmented villonodular synovitis. Bull Rheum Dis. 1958 Apr;8(8):161–162. [PubMed] [Google Scholar]
  5. Coventry M. B., Harrison E. G., Jr, Martin J. F. Benign synovial tumors of the knee: a diagnostic problem. J Bone Joint Surg Am. 1966 Oct;48(7):1350–1358. [PubMed] [Google Scholar]
  6. Desaulniers M., Fuks A., Hawkins D., Lacourciere Y., Rosenthall L. Radiotechnetium polyphosphate joint imaging. J Nucl Med. 1974 Jun;15(6):417–423. [PubMed] [Google Scholar]
  7. GREENFIELD M. M., WALLACE K. M. Pigmented villonodular synovitis. Radiology. 1950 Mar;54(3):350–356. doi: 10.1148/54.3.350. [DOI] [PubMed] [Google Scholar]
  8. Gehweiler J. A., Wilson J. W. Diffuse biarticular pigmented villonodular synovitis. Radiology. 1969 Oct;93(4):845–851. doi: 10.1148/93.4.845. [DOI] [PubMed] [Google Scholar]
  9. Maxfield W. S., Weiss T. E., Shuler S. E. Synovial membrane scanning in arthritic disease. Semin Nucl Med. 1972 Jan;2(1):50–70. doi: 10.1016/s0001-2998(72)80007-2. [DOI] [PubMed] [Google Scholar]
  10. YOUNG J. M., HUDACEK A. G. Experimental production of pigmented villonodular synovitis in dogs. Am J Pathol. 1954 Jul-Aug;30(4):799–811. [PMC free article] [PubMed] [Google Scholar]

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