Two cases of plant thorn synovitis. Difficulties in diagnosis and treatment.
Two patients with inflammatory monoarthritis of the knee due to joint penetration by plant thorns are reported. Histopathology demonstrated granulomatous synovitis in both and visualized fragments of black thorn. Synovectomy was partly effective. Awareness of this cause of chronic monoarthritis will avoid delay in diagnosis and treatment.
Goupille
P
P
Division of Rheumatology, Trousseau Hospital, Tours, France.
Fouquet
B
B
Favard
L
L
Burdin
P
P
Valat
J P
JP
D000328:Adult; D001168:Arthritis / Q000209:etiology; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D005549:Foreign-Body Reaction / Q000209:etiology*; D006801:Humans; D007719:Knee Joint; D008297:Male; D010944:Plants; D012008:Recurrence; D013585:Synovitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy