title: Successful treatment of multiple bursal cysts in systemic sclerosis.
abstract: 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.
authors.affiliation: Department of Dermatology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tanemura
authors.forename: Yuji
authors.initials: Y
authors.lastname: Yamaguchi
authors.forename: Tateki
authors.initials: T
authors.lastname: Kubo
authors.forename: Kenji
authors.initials: K
authors.lastname: Yano
authors.forename: Satoshi
authors.initials: S
authors.lastname: Itami
mesh_terms: 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*
chemical_list: D000893:Anti-Inflammatory Agents; D014222:Triamcinolone Acetonide