mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/19967012-2025-6-80-84mrj-1882Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL OBSERVATIONSФеномен внутрисуставных «рисовых телец» у пациентки с ревматоидным артритом: описание клинического случаяThe phenomenon of intra-articular “rice bodies” in a patient with rheumatoid arthritis: a case reporthttps://orcid.org/0000-0002-1833-5357АроноваЕ. С.AronovaE. S.

Евгения Сергеевна Аронова

115522, Москва, Каширское шоссе, 34А

Evgeniya Sergeevna Aronova

34A, Kashirskoe Shosse, Moscow 115522

eugpozd@mail.ruhttps://orcid.org/0000-0002-3173-773XСтарковаА. С.StarkovaA. S.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-1782-7763СеменоваЛ. А.SemenovaL. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0001-7091-2054БеловБ. С.BelovB. S.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation2025221220251968084Copyright © Аронова Е.С., Старкова А.С., Семенова Л.А., Белов Б.С., 20252025Аронова Е.С., Старкова А.С., Семенова Л.А., Белов Б.С.Aronova E.S., Starkova A.S., Semenova L.A., Belov B.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/1882

Структуры, напоминающие «рисовые тельца» (РТ), могут быть обнаружены у пациентов с ревматоидным артритом (РА), системной красной волчанкой, псориатическим артритом и туберкулезным тендовагинитом. Полость суставов является типичным местом локализации РТ. Хотя наличие РТ может создавать диагностические сложности у пациентов с ревматическими заболеваниями, в литературе они упоминаются редко. Предполагаются разные этиологические причины этой патологии. Основной неинвазивной методикой выявления РТ является магнитно-резонансная томография. Для верификации изменений применяется морфологическое исследование.

В статье представлен клинический случай обнаружения РТ в полости левого плечевого сустава у пожилой женщины с длительным анамнезом РА и сопутствующими заболеваниями, описаны диагностические методы и тактика лечения.

Structures resembling “rice bodies” (RB) may be found in patients with rheumatoid arthritis (RA), systemic lupus erythematosus, psoriatic arthritis, and tuberculous tenosynovitis. The joint cavity is a typical site of RB localization. Although the presence of RB may create diagnostic difficulties in patients with rheumatic diseases, they are rarely mentioned in the literature. Various etiological causes of this disorder have been proposed. Magnetic resonance imaging is the main non-invasive method for detecting RB. Pathology examination is used to verify the changes. The article presents a clinical case of RB detection in the cavity of the left shoulder joint in an elderly woman with a long history of RA and comorbidities, and describes the diagnostic methods and treatment approach.

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The authors declare that there are no conflicts of interest present.