We describe three women with unexplained acute monoarthritis and birefringent lipid spherules or lipid liquid crystals in their synovial fluid. Synovial fluid aspirated within 24 hours of onset showed leucocyte counts ranging from 10 X 10(9) to 46 X 10(9)/1 with 91-95% polymorphonuclear cells. Numerous positively birefringent 2-6 micron microspherules were seen inside and outside polymorphonucl...

Results There was two age more frequently 2 and 11 years (R: 0.10-14.4) .41 fem,27masc. The most commont joints involved were:52 knee (88%),5 ankle, 1 elbow and 1 finger. 24(40.6%) patients had JCA, 13 fem 11 masc, the evolution was: 10 pauciarticular, 5 polyarticular 3 Spondyloarthropathies, 6 others. The men age of JAC was 7 years (r:6m-14a). Ocular examination: 1 blefaritis, 1 corneal erosio...

Clindamycin is a lincosamide antibiotic which is approved for the treatment of Anaerobic, Streptococcal and Staphylococcal infections. There has been an increased interest in the use of clindamycin since it achieves high intracellular levels in phagocytic cells, high levels in bone and appears to have an antitoxin effect against the toxin elaborating strains of streptococci and staphylococci. C...

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic condition in childhood and an important cause of short and long term disability. Oligoarthritis is defined as an arthritis that affects four o fewer joints during the first 6 months of disease. The large majority of patients within this category belongs to a quite well defined disease which is not observed in adults. It is...