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Updated: Aug 12, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Successful treatment of multiple bursal cysts in systemic sclerosis
Atsushi Tanemura1, Yuji Yamaguchi, Tateki Kubo
1Department of Dermatology, Osaka University Graduate School of Medicine, Osaka, Japan.
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.
Conclusion:
Successful treatment of multiple bursal cysts with systemic sclerosis was presented.

