South African Medical Journal

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Juvenile idiopathic arthritis flare due to rice bodies in the knee of a 10-year-old girl

G Faller, M Haagensen, M Barrow


A 10-year-old girl with juvenile idiopathic arthritis in remission presented with a flare of her arthritis. All her joints responded to treatment except the right knee, despite the use of disease-modifying antirheumatic drugs, non-steroidal anti-inflammatory medication and high-dose cortisone. A magnetic resonance imaging scan showed a knee densely packed with rice bodies. After surgical removal of the rice bodies the inflammation settled once again, and the patient remains well on her usual medication.

AJOL African Journals Online