Chronic bursitis and tenosynovitis revealing Whipple's disease.
Bursitis
Tenosynovitis
Whipple disease
Journal
Joint bone spine
ISSN: 1778-7254
Titre abrégé: Joint Bone Spine
Pays: France
ID NLM: 100938016
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
04
12
2019
accepted:
23
01
2020
pubmed:
3
2
2020
medline:
29
6
2021
entrez:
3
2
2020
Statut:
ppublish
Résumé
Joint complaints, most commonly intermittent arthritis, are the initial manifestation in about three-fourths of Whipple's disease cases. We herein report on two cases wherein Whipple's disease manifested itself as chronic bursitis and tenosynovitis at several sites. A 42 year-old man had bilateral olecranon bursitis, a right patellar bursitis and an extensor tenosynovitis on the left wrist and a 54 year-old man had extensor tenosynovitis at both wrists and a bilateral tenosynovitis of the extensors at both ankle. Methotrexate in both patients and etanercept in one of them were not effective. Polymerase chain reaction testing revealed Tropheryma whipplei on feces, bursitis and articular fluid samples. Duodenal biopsy proved to be normal. Doxycycline and hydroxychloroquine were rapidly effective. Chronic bursitis and tenosynovitis must be added to the list of rheumatologic manifestations that may evoke the diagnosis of Whipple disease.
Identifiants
pubmed: 32007648
pii: S1297-319X(20)30015-4
doi: 10.1016/j.jbspin.2020.01.010
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
481-482Informations de copyright
Copyright © 2020 Société française de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.