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Polyarticular pigmented villonodular synovitis in a child

R Vedantam1, W B Strecker, P L Schoenecker

  • 1St. Louis Shriners Hospitals for Children, MO 63131, USA.

Clinical Orthopaedics and Related Research
|April 29, 1998
PubMed
Summary

Pigmented villonodular synovitis is rare in children, especially when affecting multiple joints. This case highlights its occurrence in a young boy with genitourinary anomalies, suggesting consideration in similar pediatric cases.

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Area of Science:

  • Pediatric Rheumatology
  • Orthopedic Surgery
  • Medical Genetics

Background:

  • Pigmented villonodular synovitis (PVNS) is a rare condition affecting the synovium.
  • Polyarticular involvement of PVNS is uncommon across all age groups.
  • Congenital anomalies can present diagnostic challenges in pediatric patients.

Observation:

  • A young boy presented with multiple joint swellings.
  • The patient had co-existing congenital anomalies of the genitourinary tract.
  • Diagnostic workup confirmed pigmented villonodular synovitis.

Findings:

  • The case demonstrates polyarticular pigmented villonodular synovitis in a pediatric patient.
  • This presentation is notably rare, particularly in younger children.

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  • The co-occurrence with genitourinary anomalies is a significant clinical observation.

    • Implications:

    • Pediatricians and specialists should consider PVNS in the differential diagnosis of pediatric polyarthritis.
    • Congenital anomalies may be associated with rare conditions like PVNS.
    • Early recognition and diagnosis are crucial for appropriate management of pediatric joint conditions.