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Revue du rhumatisme
Volume 72, n° 7
pages 639-641 (juillet 2005)
Doi : 10.1016/j.rhum.2004.12.029
Received : 12 January 2004 ;  accepted : 13 December 2004
Le liquide synovial lymphocytaire dans la tuberculose articulaire : étude de 30 cas
Lymphocytosis synovial fluid in joint tuberculosis. A report of 30 cases
 

Fadoua Allali , Saoussane Mahfoud-Filali, Najia Hajjaj-Hassouni
Service de rhumatologie, hôpital El-Ayachi, CHU de Rabat-Salé, Maroc 

*Auteur correspondant.
Résumé

Introduction. - Plusieurs observations ont montré l'association du liquide synovial lymphocytaire dans la tuberculose ostéoarticulaire, ce qui pourrait expliquer en partie l'évolution insidieuse de la maladie. Le but de ce travail est d'étudier les caractéristiques du liquide articulaire à prédominance lymphocytaire dans la tuberculose ostéoarticulaire.

Matériels et méthodes. - Nous avons inclus rétrospectivement 30 cas de tuberculose articulaire. Il s'agit de 20 hommes et de dix femmes, d'un âge moyen de 47,7±21,4 ans [10-75] et d'une durée moyenne d'évolution de la maladie de 25,7±27,6 mois [2-120].

Résultats. - La valeur moyenne des globules blancs dans le liquide articulaire était de 15 181±15 635/mm3 [600-40 000]. La prédominance de PNN était retrouvée dans 80 % des cas et celle des lymphocytes dans 20 %. Aucune prédominance lymphocytaire n'a été retrouvée à la numération formule sanguine. Le liquide à prédominance lymphocytaire n'avait aucune caractéristique clinique, biologique ou radiologique .

Conclusion. - Notre étude montre que le liquide à prédominance lymphocytaire est rare et ne s'associe à aucune spécificité clinicoradiologique dans la tuberculose articulaire.

The full text of this article is available in PDF format.
Abstract

Introduction. - It has been reported that the presence of lymphocyte rich synovial fluid (SF) is most commonly associated with tuberculosis. The aim of this study was to evaluate the characteristics of synovial fluid lymphocytosis in osteoarticular tuberculosis.

Methods. - Thirty patients with peripheral osteoarticular tuberculosis were included. The mean age of patients was 47.7±21.4 years [10-75] and the mean duration of disease was 25.7±27.6 months [2-120].

Results. - The mean total SF white cell count was 15 181±15 635/mm3. Polymorphonuclear leukocytes were predominant in 80% and lymphocytes in 20% of cases. There was no lymphocytosis in the blood cell count. There was no difference between patients with lymphocytosis SF and polymorphonuclear leukocytes riche SF for the duration of the disease, radiological destruction and relapse of tuberculosis. Conclusion. - This study showed that lymphocytosis SF was rare and had no specific characteristics in osteoarticular tuberculosis.

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Mots clés : Tuberculose, Liquide synovial, Cytologie, Lymphocyte

Keywords : Tuberculosis, Synovial fluid, Cytology, Lymphocytosis




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