PMC2816297_01
Synovial biopsy reveals hyperplasia of synoviocytes without evidence of inflammation (H&E, x200).
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F1
Synovial fluid finding did not show inflammatory nature, and synovial biopsy revealed synovial hyperplasia without significant inflammation (Fig. 1).
(A) Photograph of both knees shows swelling. (B) Photograph of both hands shows camptodactyly. (C) Both feet show flexion deformity at the left 2nd PIP joint.
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F2
Swelling of both knees, ankles, elbows and wrists and deformity of fingers and toes were observed (Fig. 2).
The antero-posterior radiograph of pelvis shows coxa vara and short broad femoral neck.
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F3
Chest radiography showed cardiomegaly, and pelvis AP revealed broad short femoral neck and coxa vara (Fig. 3).
(A). The plain radiography of both hands shows flexion at the 5th PIP joint of both hands and questionable flexion at the 2nd PIP joint of left hand. (B) Radiography of both feet shows flexion at the left 2nd PIP joint.
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F4
The plain radiography of both hands and both feet showed flexion deformity of fingers and toes (Fig. 4).
Sagittal T1 MR image of knee with gadolinium enhancement shows thin rim-like enhancement of the fluid filled bursae.
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F5
Knee MRI showed large amount joint fluid and thin rim-like enhancement of the fluid filled bursae (Fig. 5).
Echocardiogram shows moderate amount of pericardial effusion posterior to left ventricle at apical 4 chamber view.
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F6
The echocardiogram showed moderate amount of pericardial effusion (Fig. 6).