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© 1993 British Society for Rheumatology

case-report

PIGMENTED VILLONODULAR SYNOVITIS OF THE KNEE IN A PATIENT WITH PAGET'S DISEASE OF THE ADJACENT FEMORAL BONE

S. MARSAL, C. ARNAL, F. GARCIA*, L. AZORIN{ddagger} and E. LIENCE

*Section of Rheumatology, Department of Pathology Ciudad Sanitaria Vall d'Hebron, Passeig Vall d'Hebron s/n, 08035 Barcelona, Spain
{ddagger}Section of Rheumatology, Service of Orthopaedic Surgery Ciudad Sanitaria Vall d'Hebron, Passeig Vall d'Hebron s/n, 08035 Barcelona, Spain

Correspondence to: Correspondence to S. Marsal, Section of Rheumatology, Habitació 119, Hospital General Vall d'Hebron, Passeig Vall d'Hebron s/n, 08035 Barcelona, Spain

A 49-year-old male patient, diagnosed as having Paget's disease involving the lumbar vertebrae and both femora, felt persistent pain and swelling in the left knee after trauma. A synovectomy was performed. Clinical and histological findings led to the diagnosis of pigmented villonodular synovitis of the knee joint. Only one previous case of this association has been reported. A common aetiology for both diseases is discussed, and traumatic factors should be considered in the aetiology of the association.

KEY WORDS: Osteitis deformans, Synovitis, Paget's disease of bone, Pigmented villonodular synovitis


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