Bilateral deep infrapatellar bursitis associated with tibial tuberosity enthesopathy in a case of juvenile ankylosing spondylitis |
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Authors: | R Lagier J Albert |
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Institution: | (1) Department of Pathology (Osteoarticular Unit), Geneva Medical School, 1 Rue Michel Servet, CH-1211 Geneva 4, Switzerland;(2) Division of Rheumatology, Hospital of La Chaux-de-Fonds, CH-2300 La Chaux-de-Fonds, Switzerland |
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Abstract: | Summary A case of bilateral deep infrapatellar bursitis is reported in a 19-year-old man suffering from juvenile ankylosing spondylitis and surgically treated for bilateral tibial tuberosity enthesopathy. In addition to erosive nonspecific bone remodelling the excised specimens showed, in the bursa, synovial layer hyperplasia with mild subintimal inflammatory cell infiltration, i.e. changes similar to those of synovitis in ankylosing spondylitis. The respective roles of the inflammatory terrain and of local shearing stress are discussed. |
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Keywords: | Juvenile ankylosing spondylitis Tibial tuberosity enthesopathy Deep infrapatellar bursitis |
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