PSORİATİK ARTRİT ZEMİNİNDE GELİŞEN DİZDE LİPOMA ARBORESCENS: OLGU SUNUMU

Öz

Lipoma arborescens sinovyumun villöz lipomatöz proliferasyonu ile karakterize, genellikle diz eklemini tutan nadir ve benign bir lezyondur ve kronik inflamatuvar eklem hastalıklarıyla birlikte görülebilir. On yıldır psöriatik artrit nedeniyle prednizolon, metotreksat ve leflunomid kullanan 47 yaşındaki erkek hasta, üç aydır süren sol diz ağrısı, şişlik ve hareket kısıtlılığı ile başvurdu. Ultrasonografide suprapatellar yaygın efüzyon ve hiperekojen villöz sinovyal çıkıntılar, manyetik rezonans görüntülemede lipomatöz alanlar içeren hipertrofik proliferatif sinovyal doku ve homojen kontrastlanma saptandı. Tekrarlayan efüzyon üzerine lipoma arborescens ön tanısı ile sinoviyektomi yapıldı ve histopatoloji sinovyal lipomatozis ile uyumlu raporlandı. Postoperatif rehabilitasyon sonrası tam eklem hareket açıklığı sağlandı.

Anahtar Kelimeler

• Lipoma arborescens
• Psöriatik artrit
• Diz eklemi

LİPOMA ARBORESCENS OF THE KNEE DEVELOPİNG ON THE BASİS OF PSORİATİC ARTHRİTİS: A CASE REPORT

Öz

Lipoma arborescens is a rare benign lesion characterized by villous lipomatous proliferation of the synovium, most commonly affecting the knee joint and sometimes associated with chronic inflammatory arthropathies. A 47-year-old man with a ten-year history of psoriatic arthritis treated with prednisolone, methotrexate, and leflunomide presented with a three-month history of left knee pain, swelling, and limited motion. Ultrasonography showed diffuse suprapatellar effusion with hyperechoic villous synovial projections, and magnetic resonance imaging demonstrated hypertrophic proliferative synovium containing lipomatous areas with homogeneous enhancement. Recurrent effusion led to synovectomy, and histopathology confirmed synovial lipomatosis. Postoperative rehabilitation achieved full joint range of motion.

Anahtar Kelimeler

• Lipoma arborescens
• Psoriatic arthritis Knee joint
• Knee joint

Kaynakça

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