RT Journal Article SR Electronic T1 Pseudoseptic arthritis: an unusual presentation of neuropathic arthropathy. JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP 717 OP 721 DO 10.1136/ard.50.10.717 VO 50 IS 10 A1 Louthrenoo, W A1 Ostrov, B E A1 Park, Y S A1 Rothfuss, S A1 Schumacher, H R YR 1991 UL http://ard.bmj.com/content/50/10/717.abstract AB A 49 year old black man with scoliosis presented with bilateral shoulder swelling eventually shown to be due to neuropathic arthropathy related to underlying syringomyelia. The synovial fluid was highly inflammatory, but cultures from synovial fluid and synovial tissue were all sterile. Profuse fat droplets were noted and considered as a possible cause of the inflammation. This is an unusual presentation of neuropathic arthropathy in a patient who was also harbouring an adenocarcinoma that was undetected until later.