Bilateral pigmented villonodular synovitis of the wrists.
The wrist is an unusual anatomic location for pigmented villonodular synovitis (PVNS). PVNS is generally a benign or minimally destructive process, but in our patient it resulted in progressive erosive changes in a bilateral wrist distribution. This is the first histologically documented case of bilateral PVNS in this anatomic distribution, to our knowledge. Although uncommon, PVNS should be considered a possible cause of unexplained upper extremity inflammatory arthritis.
Jamieson
T W
TW
Division of Rheumatology, National Naval Medical Center, Bethesda, Maryland.
Curran
J J
JJ
Desmet
A A
AA
Cotelingam
J D
JD
Kimmich
H
H
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011859:Radiography; D013585:Synovitis / Q000000981:diagnostic imaging*; D013586:Synovitis, Pigmented Villonodular / Q000000981:diagnostic imaging* / Q000473:pathology; D014955:Wrist Joint / Q000000981:diagnostic imaging