Incidental diagnosis of bilateral synovial lipomatosis in long standing knee osteoarthritis

Das, Sanjushree; Chattopadhyay, Priyaranjan; Ray, Abhishek; Sharma, Vikas

doi:10.1016/j.ehpc.2015.05.002

Cited by 1 publication

(3 citation statements)

References 9 publications

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“…It was first described by Albert Hoffa in 1904, as a 1,3,7 Less than 100 cases have been reported so far mostly as case reports. 2 The exact etiology is unclear but association with trauma resulting in a reactionary inflammation and synovial hyperplasia has been proposed. 1,3 Moreover, association with inflammatory joint diseases like osteoarthritis, rheumatoid arthritis, psoriasis and uveitis has been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Histologically, there is villous proliferation of synovium with infiltration of mature adipocytes (Fig 1a and 1b). [1][2][3] Synovial hyperplasia, mild inflammation, dilated blood vessels and fibrosis can be present. 3,9 The differential diagnoses of Synovial Lipomatosis include Synovial lipoma, Pigmented villonodular synovitis, Synovial haemangioma and intraarticular synovial lipoma (IASL).…”

Section: Discussionmentioning

confidence: 99%

“…Peak incidence is between fifty and seventy years and there is a slight predilection for males. 2 Patients present with joint pain, swelling and effusion. Synovial lipomatosis can be bilateral in some cases.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Synovial Lipomatosis; A Clinicopathological Study of a Rare Entity

Bashir¹,

Hassan²,

Akhtar³

et al. 2019

JIMDC

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Objective: This study was conducted to analyse the clinicopathological and radiological features associated with Synovial lipomatosis.Patients and Methods: Cases diagnosed as Synovial lipomatosis from 2008 to 2018 were retrieved and clinical information and histology were reviewed.Results: Thirteen cases of Synovial lipomatosis were diagnosed between 2008 and 2018. Most common site was knee joint and mean age of presentation was 28.6. About 62% of subjects were males and mostly presented with joint pain and swelling. Two of the subjects had significant history of trauma and disease was bilateral in one of the cases. Microscopically, villous proliferation of synovium with infiltration of mature adipocytes was noted. Focal synovial hyperplasia and inflammatory infiltrate were other findings in some of the cases.Conclusion: Synovial lipomatosis should be considered in the differential diagnosis of joint pain and swelling and should be distinguished from Pigmented villonodular synovitis, Synovial haemangioma and intra-articular synovial lipoma (IASL) using radiological and histological features.

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