Flake-shaped rice bodies

Kichari, Jayant R.; Bezooijen, Roland

doi:10.4102/sajr.v16i4.260

“…Rice bodies are shiny white structures with variable sizes and shapes. The shapes may either be like teardrops and nodules or be angular and flake-like [6]. In 1980, Cheung et al elucidated a theory of synovial origin for rice body formation, in which the synovium undergoes inflammation followed by tiny infarcts and peeling of the infarcted tissue [7].…”

Section: Discussionmentioning

confidence: 99%

Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case

Hung

¹

,

Duong

²

,

Binh

³

et al. 2020

Case Reports in Orthopedics

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In this report, we present the case of a 53-year-old man with rice body formation in the right knee caused by tuberculous arthritis (TB arthritis). The patient visited our hospital in January 2018 with a seven-month history of swelling and pain in the right knee. He had no previous history of tuberculosis, and the results of the routine laboratory tests were within normal limits; he also tested negative for rheumatoid factor. Magnetic resonance (MR) imaging revealed multiple rice bodies in the right knee, measuring 5-8 mm. He underwent an arthroscopic operation in the right knee in January 2018 and received antituberculosis polytherapy for 6 months. He was followed-up for more than 01 year. The patient regained good function of the operated knee with no evidence of recurrence during the last follow-up in February 2019. Conclusion. The biggest challenge in diagnosing tuberculosis arthritis is the consideration of its possibility in the differential diagnosis, not only in endemic countries where tuberculosis is frequent. A high level of suspicion for TB should be maintained for every infection of the knee joint, particularly in the case of intra-articular rice bodies.

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“…Rice bodies have been seen in different pathological conditions of the synovium lined structure like joints, bursae and tendon sheaths [6]. Though originally they were first seen in tubercular arthritidis and named so by Reise in 1895, they are more commonly encountered by rheumatologists in rheumatological disorders [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…Sero negative rheumatoid arthritis, Juvenile arthritis, hypergammaglobulinemic arthritis are other rare entities [7,8]. Rice bodies have also been seen in patients with non specific arthritis without any underlying rheumatological disorder and it has been seen these patients respond well to surgical debridement and joint lavage without any future recurrence [6,9]. Among infectious entities rice bodies are associated with mycobacterium tuberculosis as well as non-tubercular mycobacteria [7].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Rice bodies: a rare presentation of tubercular arthritis of the knee joint

Ali¹,

Bhat²,

Bangroo³

et al. 2016

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Rice bodies are most of the times encountered in rheumatological disorders. They have also been seen in tuberculosis, though rarely. With tuberculosis, rice bodies are usually associated with bursae and tenosynovium and very rarely with large joints. We report a rare case of intra articular rice bodies associated with tuberculosis of the knee joint that mimicked monoarticular rheumatoid arthritis and pigmented villonodular synovitis clinically, with absent constitutional and laboratory features suggestive of tuberculosis.

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“…Rice bodies have been seen in different pathological conditions of the synovium lined structure like joints, bursae and tendon sheaths [6]. Though originally they were first seen in tubercular arthritidis and named so by Reise in 1895, they are more commonly encountered by rheumatologists in rheumatological disorders [3,4].…”

Section: Discussionmentioning

confidence: 99%

Rice bodies: a rare presentation of tubercular arthritis of the knee joint

Ali¹

2016

Prog Orthop Sci

1

0

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Rice bodies are most of the times encountered in rheumatological disorders. They have also been seen in tuberculosis, though rarely. With tuberculosis, rice bodies are usually associated with bursae and tenosynovium and very rarely with large joints. We report a rare case of intra articular rice bodies associated with tuberculosis of the knee joint that mimicked monoarticular rheumatoid arthritis and pigmented villonodular synovitis clinically, with absent constitutional and laboratory features suggestive of tuberculosis.

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Flake-shaped rice bodies

Abstract: Rice body formation is a common complication of rheumatoid arthritis but can also occur without any underlying systemic disorder. MRI is the modality of choice for discriminating this pathology from synovial chondromatosis.

Cited by 4 publications

References 6 publications

Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case

Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case

Rice bodies: a rare presentation of tubercular arthritis of the knee joint

Rice bodies: a rare presentation of tubercular arthritis of the knee joint

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