title: Subacromial bursitis with giant rice bodies as initial presentation of rheumatoid arthritis.
abstract: Rice body formation is a nonspecific response to chronic synovial inflammation associated with tuberculous arthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, seronegative inflammatory arthritis, and even osteoarthritis. Such bodies were termed rice bodies because of their close resemblance to grains of polished white rice. We present a case report of a middle-aged woman with right shoulder subacromial/subdeltoid bursitis with giant rice body formation as her initial presentation of rheumatoid arthritis. Her right shoulder symptoms resolved after subacromial and subdeltoid bursectomy and removal of the rice bodies. She subsequently developed inflammatory arthritis of other joints, met the criteria for rheumatoid arthritis, and has been treated medically.
authors.affiliation: Department of Orthopaedic Surgery, 11 Jalan, Tan Tock Seng Hospital, Singapore 308433S, Singapore. sramesh77@hotmail.com
authors.forename: Ramesh
authors.initials: R
authors.lastname: Subramaniam
authors.forename: Justina Wei Lyn
authors.initials: JW
authors.lastname: Tan
authors.forename: Cora Yuk Ping
authors.initials: CY
authors.lastname: Chau
authors.forename: Keng Thiam
authors.initials: KT
authors.lastname: Lee
mesh_terms: D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging* / Q000473:pathology*; D002061:Bursa, Synovial / Q000473:pathology / Q000601:surgery; D002062:Bursitis / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome