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Palm oil thorn induced tumour-like lesion: a review of 4 cases

Awang, Mohd Shukrimi and Che Ahmad, Aminudin and Zakaria, Zamzuri and Zulkifly, Ahmad Hafiz and Ab Rahman, Jamalludin (2007) Palm oil thorn induced tumour-like lesion: a review of 4 cases. In: Fifth SICOT/SIROT Annual International Conference 2007, 29 August - 1 September 2007, Marrakech, Morocco.

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It is not widely recognized that palm oil thorn injuries can produce progressive and persistent reaction in the bone joint and surrounding tissue. The natural history is unique and most of the investigations are inconclusive. We reviewed four cases of tumor like lesion: two cases were around the elbows and two cases at the foot, which developed following injuries caused by palm oil thorns. The typical presentation is transient acute synovitis followed by a relatively asymptomatic period. It can also manifest later with chronic or recurrent inflammation mimicking septic arthritis, osteomyelitis or bone tumor often after the thorn injury was forgotten. The hand is the most commonly affected. Lesions of the elbows and foot are very rare. The tissue for culture and histopathologically examination together with administration of broad spectrum antibiotics are needed for the treatment although they are negative and inconclusive. The definite treatment includes operative debridement and removal of thorn particles, even though in most cases the particles cannot be found either due to irrigation or because they are too small to be seen.

Item Type: Conference or Workshop Item (Full Paper)
Additional Information: 3447/41071
Uncontrolled Keywords: Palm oil thorn, Acute synovitis, Operative debridement
Subjects: R Medicine > RB Pathology
R Medicine > RC Internal medicine > RC254 Neoplasms. Tumors. Oncology (including Cancer)
R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User: Assoc Prof Dr Aminudin Che Ahmad
Date Deposited: 13 Mar 2015 15:23
Last Modified: 10 Mar 2016 15:05
URI: http://irep.iium.edu.my/id/eprint/41071

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