Destructive synovitis in contralateral perthes; disease: A report of 2 cases

Lieve Vanpaemel Departments of Pediatric Orthopedics, University Hospital for Children and Youth, “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, 3501, CA Utrecht, The Netherlands, Tel +31 30-320911, Fax -334825

Paul J M Helders Departments of Pediatric, Physical therapy, University Hospital for Children and Youth, “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, 3501, CA Utrecht, The Netherlands, Tel +31 30-320911, Fax -334825

Wietse Kuis Departments of Pediatric, Rheumatology, University Hospital for Children and Youth, “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, 3501, CA Utrecht, The Netherlands, Tel +31 30-320911, Fax -334825

Hans Pruijs Departments of Pediatric Orthopedics, University Hospital for Children and Youth, “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, 3501, CA Utrecht, The Netherlands, Tel +31 30-320911, Fax -334825

Jonne Huber Departments of Pediatric, Pathology, University Hospital for Children and Youth, “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, 3501, CA Utrecht, The Netherlands, Tel +31 30-320911, Fax -334825

Willem Keessen Departments of Pediatric Orthopedics, University Hospital for Children and Youth, “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, 3501, CA Utrecht, The Netherlands, Tel +31 30-320911, Fax -334825

Abstract

2 boys had unilateral Perthes' disease at the age of 5 years. After 6 and 7 years, respectively, both patients developed contralateral femoral head necrosis with rapid destruction leading to ankylosis of the hip. Histology of the synovium showed nonspecific synovitis. Both patients fulfilled criteria for oligo-articular juvenile chronic arthritis (JCA). The association with Perthes' disease suggests a common etiology.

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Destructive synovitis in contralateral perthes; disease: A report of 2 cases

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Destructive synovitis in contralateral perthes; disease: A report of 2 cases

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