Case Report

Synovial Sarcoma of the Foot Mimicking Acute Gouty Arthritis

YING DU, SALLY PULLMAN-MOOAR, and H. RALPH SCHUMACHER

ABSTRACT.

Synovial sarcoma is a slow-growing soft tissue sarcoma that mainly affects young adults. Patients commonly present with a slowly enlarging mass in the paraarticular regions of extremities. We describe a case of synovial sarcoma with an unusually acute presentation near the first metatarsophalangeal joint that resembled acute gouty arthritis. (J Rheumatol 2005;32:2006-8)

Key Indexing Terms:

SYNOVIAL SARCOMA
ACUTE GOUTY ARTHRITIS

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From the Division of Rheumatology, Department of Medicine, University of Pennsylvania School of Medicine; and the Rheumatology Section, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA.

Y. Du, MD, Rheumatology Fellow, University of Pennsylvania School of Medicine; S. Pullman-Mooar, MD, Clinical Associate Professor of Medicine, University of Pennsylvania School of Medicine, Rheumatologist, Philadelphia Veterans Affairs Medical Center; H.R. Schumacher, MD, Professor of Medicine, University of Pennsylvania School of Medicine, Chief, Rheumatology Section, Philadelphia Veterans Affairs Medical Center.

Address reprint requests to Dr. H.R. Schumacher, Division of Rheumatology, Hospital of the University of Pennsylvania, 5 Maloney, Suite 504, 3400 Spruce Street, Philadelphia, PA 19104, USA.

Accepted for publication May 26, 2005.

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