A Rare Case of Pigmented Villonodular Synovitis of the Knee Joint in a Pediatric Patient with Morphological Abnormality
DOI:
https://doi.org/10.54133/ajms.v9i1.2028Keywords:
Knee Joint, Pediatric, Pigmented Villonodular synovitis, Synovial tumorsAbstract
A 13-year-old female with morphological features refers to an uncommon genetic syndrome. The patient has a history of congenital heart disease (pulmonary valve stenosis) and presented with right knee swelling that began 2 years after the trauma. The swelling has gradually increased in size, movement limitation, and pain. Blood investigations showed iron-deficiency anemia, a normal white cell count, and a platelet level. The C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels were slightly elevated later; both CRP and WBC were normal. A biopsy and MRI reported suspicion of a giant cell tumor. Genetic investigations for pediatric and adult patients might be essential for further understanding of this condition. Radiotherapy, when justified, could be a treatment option for certain patients who have undergone incomplete surgical resection. Early detection is necessary to avoid joint damage. MRI is the golden diagnostic; biopsy is not necessary with MRI availability.
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