Successful treatment of multiple bursal cysts in systemic sclerosis.
BACKGROUND
Bursitis frequently occurs in the various conditions of autoimmune disorders including rheumatoid arthritis, but there have been few cases of effusive bursitis in systemic sclerosis.


OBJECTIVE
To present a case of systemic sclerosis with multiple bursitis on upper, lower extremities, and trunk with or without joint involvement.


METHODS
Case report and review of the literature.


RESULTS
Multiple asymptomatic cystic masses contained yellow and chalky sterile fluid, all of which were diagnosed as effusive bursitis. Most of them were treated with a surgical resection, a continuous drainage, and an injection of highly concentrated ethanol into their internal spaces. However, an intrabursal injection of emulsified triamcinolone acetonide was the only effective treatment for the giant mass that occurred on the right chest wall.


CONCLUSIONS
Successful treatment of multiple bursal cysts with systemic sclerosis was presented.
Tanemura
Atsushi
A
Department of Dermatology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yamaguchi
Yuji
Y
Kubo
Tateki
T
Yano
Kenji
K
Itami
Satoshi
S
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002062:Bursitis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D004322:Drainage; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008875:Middle Aged; D012598:Sclerosis / Q000150:complications*; D013909:Thorax; D014057:Tomography, X-Ray Computed; D014222:Triamcinolone Acetonide / Q000008:administration & dosage / Q000627:therapeutic use*
D000893:Anti-Inflammatory Agents; D014222:Triamcinolone Acetonide