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Rice body synovitis in systemic lupus erythematosus

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Abstract

Rice bodies (RBs) synovitis in the shoulder joints of systemic lupus erythematosus patients is a rare clinical condition that has not been previously reported. Despite the fact that the diagnosis of RBs synovitis has primarily relied on MRI imaging, ultrasound has been used less frequently. In this report, we discuss a 43-year-old female diagnosed with systemic lupus erythematosus who presented with pain and swelling in the right shoulder. The ultrasound findings were typical, and the patient was diagnosed with RBs synovitis, as she had no history of tuberculosis or rheumatoid arthritis. Subsequently, the patient underwent ultrasound-guided percutaneous biopsy and surgical excision, which led to a good postoperative outcome. Based on this case, a literature review of RBs synovitis over the past 2 decades indicates that rice bodies synovitis is rare in clinical presentation accompanied by SLE. Moreover, ultrasound has not been extensively employed for diagnosing this condition. It is important to note the pivotal role of ultrasound in detecting RBs synovitis, and it should be the preferred method for early detection. Therefore, ultrasound physicians should be well informed about this condition to enhance diagnostic precision.

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Data availability

All data concerning the case are presented in the manuscript.

Abbreviations

RB:

Rice bodies

SLE:

Systemic lupus erythematosus

MRI:

Magnetic resonance imaging

References

  1. Kiriakidou M, Ching CL (2020) Systemic lupus erythematosus. Annals Int Med 172(11):81–96. https://doi.org/10.7326/AITC202006020

    Article  Google Scholar 

  2. Sener S, Tanali G, Ergen FB et al (2022) Rice bodies in children with rheumatic disorders: A case series and systematic literature review. Mod Rheumatol 33:075. https://doi.org/10.1093/mr/roac075

    Article  Google Scholar 

  3. Gillijns M, Vandesande W (2022) Rice bodies in the wris. Mod Rheumatol Case Rep 6(1):150–154. https://doi.org/10.1093/mrcr/rxab040

    Article  PubMed  Google Scholar 

  4. Guo JJ, Wu K, Xu Y et al (2020) Hundreds of rice bodies in the subacromial-subdeltoid bursa: report of two cases and literature review. BMC Musculoskelet Disord 21(1):539

    Article  PubMed  PubMed Central  Google Scholar 

  5. Susa M, Horiuchi K (2019) Rice bodies in a patient with oligoarticular juvenile idiopathic arthritis. J Rheumatol 46(9):1157–1158. https://doi.org/10.3899/jrheum.181425

    Article  PubMed  Google Scholar 

  6. Mishra BN, Poudel RR, Jha A et al (2019) Rheumatoid subacromial-subdeltoid bursitis with rice bodies: a case report. J Clin Orthopaed Trauma 10(3):514–517. https://doi.org/10.1016/j.jcot.2018.09.014

    Article  Google Scholar 

  7. Fujieda Y, Ninagawa K, Matsui Y et al (2020) Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus. Intern Med 59(18):2317–2320. https://doi.org/10.2169/internalmedicine.4671-20

    Article  PubMed  PubMed Central  Google Scholar 

  8. Edison MN, Caram A, Flores M et al (2016) Rice body formation within a peri-articular shoulder mass. Cureus. 8(8):718. https://doi.org/10.7759/cureus.718

    Article  Google Scholar 

  9. Ge L, Zhang L, Lu L (2022) Stenosing tenosynovitis with rice bodies formation diagnosed by ultrasound. Medicine 101(7):e28871. https://doi.org/10.1097/MD.0000000000028871

    Article  PubMed  PubMed Central  Google Scholar 

  10. Walichiewicz P, Sochanik A, Przybyszewski WM (2011) Influence of local temporary ischemia on radiotherapy effects. J Cancer Therapy, Sci Res Publ 02(02):209–216. https://doi.org/10.4236/jct.2011.22027

    Article  CAS  Google Scholar 

  11. Kim RS, Lee JY, Jung SR et al (2002) Tuberculous subdeltoid bursitis with rice bodies. Yonsei Med J 43(4):539. https://doi.org/10.3349/ymj.2002.43.4.539

    Article  CAS  PubMed  Google Scholar 

  12. Bayoud W, Rizkallah M, Georges S et al (2017) A large rice body-containing cyst mimicking infection following total hip arthroplasty: a case report. Case Rep Orthop 2017:1–4. https://doi.org/10.1155/2017/5354298

    Article  Google Scholar 

  13. Bacha R, Manzoor I, Gilani SA (2019) Sonographic presentation of rice bodies in subacromial-subdeltoid chronic bursitis. Ultras J 11(1):16. https://doi.org/10.1186/s13089-019-0130-y

    Article  Google Scholar 

  14. Slouma M, Rahmouni S, Dhahri R et al (2020) Bicipitoradial bursitis: a diagnosis challenge. Clin Case Rep 8(11):2265–2268. https://doi.org/10.1002/ccr3.3125

    Article  PubMed  PubMed Central  Google Scholar 

  15. Haibo Z, Tianrui W, Wenlian S et al (2022) A case of rice body synovitis of the knee joint. Orthop Surg 14(3):628–632. https://doi.org/10.1111/os.13195

    Article  PubMed  PubMed Central  Google Scholar 

  16. Karaaslan F (2015) A mechanically locked knee joint due to free-floating, flake-shaped rice bodies. Acta Orthop Traumatol Turc 49(5):565–567. https://doi.org/10.3944/AOTT.2015.14.0124

    Article  PubMed  Google Scholar 

  17. Cuomo A, Pirpiris M, Otsuka NY (2006) Case report: biceps tenosynovial rice bodies. J Pediat Orthopaed B 15(6):423–425. https://doi.org/10.1097/01.bpb.0000228392.62678.df

    Article  Google Scholar 

  18. Druschel C, Funk JF, Kallinich T et al (2013) Development of rice bodies in 2 children younger than 3 years. JCR J Clin Rheumatol 19(1):35–37. https://doi.org/10.1097/RHU.0b013e31826d6b5e

    Article  PubMed  Google Scholar 

  19. Lui TH (2016) Dorsalis pedis psuedoaneurysm: A complication followed extensor tendoscopy of the ankle in a non-tuberculosis patient with tenosynovitis with rice body formation. Foot Ankle Surg 22(2):e1–e5. https://doi.org/10.1016/j.fas.2015.12.003

    Article  CAS  PubMed  Google Scholar 

  20. Tian Y, Zhou H-B, Yi K et al (2022) Idiopathic tenosynovitis of the wrist with multiple rice bodies: a case report and review of literature. World J Clin Cases 10(32):11908–11920. https://doi.org/10.12998/wjcc.v10.i32.11908

    Article  PubMed  PubMed Central  Google Scholar 

  21. Mutlu H, Silit E, Pekkafali Z et al (2004) Multiple rice body formation in the subacromial-subdeltoid bursa and knee joint. Skeletal Radiol 33(9):531–533. https://doi.org/10.1007/s00256-004-0757-y

    Article  PubMed  Google Scholar 

  22. Tyllianakis M, Kasimatis G, Athanaselis S et al (2006) Rice-body formation and tenosynovitis of the wrist: a case report. J Orthop Surg 14(2):208–211. https://doi.org/10.1177/230949900601400221

    Article  CAS  Google Scholar 

  23. Hung M-H, Ho K-C, Huang K-F (2011) Tuberculous tenosynovitis with rice body formation. ANZ J Surg 81(7–8):572–572. https://doi.org/10.1111/j.1445-2197.2011.05811.x

    Article  PubMed  Google Scholar 

  24. Subramaniam R, Tan JWL, Chau CYP et al (2012) Subacromial bursitis with giant rice bodies as initial presentation of rheumatoid arthritis. J Clin Rheumatol. 18(7):352–355. https://doi.org/10.1097/RHU.0b013e3182677023

    Article  PubMed  Google Scholar 

  25. Bulut M (2013) Rice body formation characterized by the chronic non-specific tenosynovitis in the tibialis anterior tendon. Acta Orthop Traumatol Turc 47(2):142–145. https://doi.org/10.3944/aott.2013.2683

    Article  PubMed  Google Scholar 

  26. Cegarra-Escolano M, Jaloux C, Camuzard O (2018) Rice-body formation without rheumatic disease or tuberculosis in a “sausage” ring finger. Hand Surg Rehabilit 37(4):255–258. https://doi.org/10.1016/j.hansur.2018.03.005

    Article  Google Scholar 

  27. Barad SJ (2019) Severe subacromial-subdeltoid inflammation with rice bodies associated with implantation of a bio-inductive collagen scaffold after rotator cuff repair. J Shoulder Elbow Surg 28(6):e190–e192. https://doi.org/10.1016/j.jse.2019.02.019

    Article  PubMed  Google Scholar 

  28. Vyas S, Bhadu D, Goswami RP et al (2022) Subacromial subdeltoid rice body bursitis in rheumatoid arthritis treated with local steroids[J]. Int J Rheum Dis 25(5):627–629. https://doi.org/10.1111/1756-185X.14305

    Article  PubMed  Google Scholar 

  29. Faller G, Haagensen M, Barrow M (2018) Juvenile idiopathic arthritis flare due to rice bodies in the knee of a 10-year-old girl[J]. S Afr Med J 108(10):833. https://doi.org/10.7196/SAMJ.2018.v108i10.13228

    Article  CAS  PubMed  Google Scholar 

  30. Keshavamurthy C, Bansal P (2022) Clinical Images: Rice bodies in subacromial bursa at initial presentation of rheumatoid arthritis. ACR Open Rheumatol 4(9):802–803. https://doi.org/10.1002/acr2.11473

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We wish to thank Dr. Hai Wang, Department of Rheumatism and Immunology, Da** Hospital, Chongqing, China, and Dr. Sen Zhang, Department of Orthopedics, Da** Hospital, Chongqing, China, for their assistance with this study. In addition, we would like to express our appreciation to Editage for providing English language editing services.

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Authors and Affiliations

  1. Department of Ultrasound Diagnosis, Da** Hospital, Army Military Medical University, 10 Changjiang Branch Road, Yuzhong District, Chongqing, 400022, China

    Youyou Tian, Jiayin Hu, Qin **a & Dong Han

  2. Department of Ultrasound Diagnosis, Yinjiang Autonomous Country Hospital, Yinjiang Autonomous Country, Tongren, Guizhou Province, China

    Youyou Tian

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Contributions

DH and JYH designed the study. DH and YYT drafted the manuscript. YYT, JYH and QX performed the ultrasound examining and ultrasound-guided percutaneous biopsy. All the authors have read and approved the final manuscript. All the authors take full responsibility for the integrity and accuracy of all aspects of the work.

Corresponding author

Correspondence to Dong Han.

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Conflict of interest

The authors declare that they have no competing interests.

Ethical approval and consent to participate

All the procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the Declaration of Helsinki (as revised in 2013). This research was performed with the approval of the Ethics Committee of Da** Hospital (Grant No. 2023–102).

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Written informed consent was obtained from the patient for the publication of this case report and accompanying images. A copy of the written consent is available for review by the editorial office of this journal.

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Tian, Y., Hu, J., **a, Q. et al. Rice body synovitis in systemic lupus erythematosus. Rheumatol Int (2023). https://doi.org/10.1007/s00296-023-05426-y

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