• Rev Rhum Engl Ed · Jun 1999

    Review Case Reports

    Multiple rheumatoid bursitis with migrating chylous cysts. Report of a case in a European woman and review of the literature.

    • J M Berthelot, D Huguet, F Gouin, J Letenneur, A Bertrand-Vasseur, A Moreau, R Lemaitre, Y Maugars, and A Prost.
    • Rheumatology Department, Nantes Teaching Hospital, France.
    • Rev Rhum Engl Ed. 1999 Jun 1;66(6):354-8.

    AbstractWe report a case of recurrent multiple bursitis (19 episodes at nine sites) requiring seven surgical procedures in a European women with a 38-year history of severe, nodular, destructive seropositive rheumatoid arthritis unresponsive to second-line drugs. The episodes of bursitis were not correlated with activity of the joint disease. Some cysts migrated over a considerable distance. At least two cysts contained chylous fluid. The histologic study of one cyst demonstrated a cholesterol crystal granuloma. Potential relationships linking cholesterol crystals, chylous cysts, and migrating multiple bursitis are discussed. The relevant literature is reviewed.

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