Early-onset rice body synovitis of the knee in children under three years: a case series and review of the literature

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Rice body-like synovitis is a rare form of arthritis characterized by rice-like lesions in the joint synovium, primarily affecting pediatric patients.
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This study analyzed four pediatric patients with rice body-like synovitis, focusing on clinical features, treatment outcomes, and follow-up results.
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All patients underwent arthroscopic debridement, with satisfactory outcomes and no recurrence of symptoms during a follow-up period of 24 to 48 months.
4

Histopathological examination revealed findings consistent with juvenile idiopathic arthritis, emphasizing the need for careful diagnosis.
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Postoperative management included ibuprofen and methotrexate, with regular monitoring of inflammatory markers and joint function.

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