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© 1992 British Society for Rheumatology

case-report

PSEUDOSEPSIS IN RHEUMATOID ARTHRITIS DUE TO CELLULAR AND LIPID ABNORMALITIES IN SYNOVIAL FLUID

M. J. GARTON, P. M. GORDON and J. A. N. RENNIE

Department of Rheumatology, City Hospital Aberdeen A B9 8AU

Correspondence to: Correspondence to: M. Garton

In acute septic arthritis, the synovial fluid is usually frankly purulent. However, the presence of pus does not always imply the presence of infection, and some synovial fluids are easily mistaken for pus. An exaggeration of the normal leucocyte response in inflammatory joint fluids may alone simulate sepsis; marked increases in certain lipid fractions of the fluid may produce similar appearances. We describe a patient who presented with two examples of such ‘pseudoseptic arthritis’.

KEY WORDS: Septic arthritis, Chylous arthritis, Cholesterol effusion, Lipids


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