Subacromial bursitis with rice bodies as a presenting feature of seronegative rheumatoid arthritis

A Case of Idiopathic Massive Rice Bodies in the Knee Joint without Rheumatoid Arthritis or Tuberculosis and a Literature Review

“…Rice bodies had been found in 72% of joints affected by rheumatoid arthritis after aspiration and lavage of synovial fluid [2]. These materials could occur adjunctive to inflamed synovium, in the bursa [3], and around tendon sheaths [4], as well as in the pleural fluid of patients with rheumatoid arthritis [7]. They have also been reported in patients with juvenile arthritis [8], seronegative spondyloarthritis [2], and osteoarthritis [2].…”

“…These particles are known as rice bodies and were first reported by Reise in 1895 in tuberculous arthritis [1]. Rice bodies have been found in the synovial space in patients with rheumatoid arthritis or seronegative spondyloarthritis [2] and in the bursa [3] and around tendon sheaths [4] in association with inflammation. However, we experienced a case with massive rice bodies in the knee joint without any inflammatory or infective evidence and report these idiopathic rice bodies with an associated literature review.…”

MR imaging assessment of clinical problems in rheumatoid arthritis

“…Histologically, rice bodies consist of a core of amorphous material containing necrotic cellular debris, surrounded by a fibrillar structure composed of fibrin and collagen [39]. The presence of rice bodies has shown no association with disease severity or duration, but diagnosis is important because their removal produces marked clinical improvement in affected joints [39,40,41,42,43,44]. Rice bodies are not seen by conventional radiographs, and they are only occasionally detectable by arthrography [39] or bursography [40,44].…”

Giant bursitis with rice bodies of the shoulder/neck region in a patient with rheumatoid arthritis without joint-connection

“…Besonders große Reiskornbursitiden finden sich bei Patienten mit RA sehr häufig ausgehend von den Bursae subacromialis und subdeltoidea [1,7,11,13,16,18,19,20]. Als eine weitere häufigere Entität werden derartige Reiskornbursitiden auch bei Patienten mit Tuberkulose bzw.…”

“…Hierbei ist jedoch überwiegend eine Gelenkbeteiligung bzw. -verbindung vorhanden, wobei die Ausdehnung ebenfalls sehr weitreichend sein kann[1,7,11,13,16,18,19,20]. Selten werden Riesenbursitiden bzw.…”