plant thorn arthritis

This disease is attributed to a granulomatous inflammatory response to retained plant thorn fragments following a puncturing plant thorn injury. The surgical operation that can cure plant thorn arthritis is called a synovectomy with joint lavage (joint washout cleaning). This immune response to the foreign material (thorn matter) within the joint is referred to as a foreign body granulomatous reaction. What is the treatment for plant thorn arthritis? Reveal the risk factors and causes of plant thorn arthritis now. Symptoms include: pain, tenderness and swelling in your joints; pain and tenderness in some tendons, especially at the heels; pain in your lower back and buttocks; sausage-like … Search. There is no specific medication or home remedy for plant thorn arthritis. The diagnosis of plant thorn arthritis requires either detection of a piece of thorn within the joint by radiology testing or surgical removal of the thorn fragments and identification of the fragments microscopically in the laboratory. Histopathology demonstrated a granulomatous synovitis. Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. 5 A similar case of knee arthritis after a blackthorn injury was reported seven years later. The joint loses its full range of motion and is often tender. This can come… The affected joint lining tissue (synovium) is examined in the pathology department using microscopes. Published by SwittersB & Exploring. Optimal treatment of PTS is arthrotomy, foreign body removal, and extensive synovectomy. The tissue forms a characteristic reaction, called a granulomatous reaction, within the synovium (granulomatous synovitis). Plant thorn arthritis causes the involved joint to be swollen, slightly reddish, stiff, and painful. Plant thorn arthritis causes the involved joint to be. Plant Thorn Synovitis… an Fascinating Design and style of Arthritis An intriguing issue that unbelievably number of us residents- even health professionals- wear't recognize concerning , is a problem named plant thorn synovitis. Epub 2014 Oct 1. Most gardeners who get hurt by a plant thorn would most probably remove it and ignore. Synovectomy is the surgical procedure that is used to cure plant thorn arthritis. This penetration causes inflammation of … Not a Substitute for Medical Advise  |  PLANT THORN ARTHRITIS. If you are experiencing problems with your health, it is recommended that you consult a medical professional, doctor, or other health care professional. The clinical presentation was that of a transient acute synovitis followed by a relatively asymptomatic period, and later by chronic arthritis often after the thorn injury was forgotten. The symptoms of plant thorn arthritis may occur long after the thorn is removed from the affected joint. NLM Plant thorn arthritis is suspected in a patient who presents with a single joint that is inflamed after it has been punctured by a plant thorn. Without surgical resection of the plant fragments, joint inflammation persists and permanent joint destruction can occur. Plant thorn synovitis of elbow in children. What treatment has been effective for your plant thorn synovitis? Plant thorn arthritis causes the involved joint to be swollen, slightly reddish, stiff, and painful. Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. It is associated with an upper extremity arthritis occurring at pruning time. Five children with an inflammatory monarthritis due to penetration of the joint by plant thorns are presented. 2009 Feb;47(2):300-10. doi: 10.1128/JCM.01916-08. Plant thorn arthritis: a type of joint inflammation that results from plant matter within the joint from a thorn puncture. The diagnosis of plant thorn arthritis is made by detection of a piece of thorn within the joint by imaging tests or surgical removal and identification of the thorn fragments. One patient had a positive operative wound culture (Enterobacter agglomerans) without evidence of osteomyelitis. Clipboard, Search History, and several other advanced features are temporarily unavailable. Often, however, the residual thorn fragments are too small to be seen with these methods and are detected only when identified in tissue that is surgically removed from the joint. Please enable it to take advantage of the complete set of features! Discussion Plant Thorn Arthritis. Epub 2008 Sep 5. i didnt know what was going on as it has swollen, lost range of motion, hurts, stiff, and is obviously inflamed. Seven cases of PTS were identified at our institution from January 1979 to July 1990, six of whom were men. Please Share: Pinterest; Twitter; Like this: Like Loading... arthritis cactus Garden injury photo plants poked pricked roses SwittersB thorn. This possibility can be excluded by removing joint fluid and culturing the fluid in the laboratory. No assurances are provided that the information listed will include the most updated developments. Post View 16 Comments Post View 1 Comment; Plant Thorn Arthritis - Types of Plants. Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. Autor médico: William C. Shiel Jr., MD, FACP, FACR. COVID-19 is an emerging, rapidly evolving situation. Mean age was 27 years (range, 7 to 56 years). Seven cases of PTS were identified at our institution from January 1979 to July 1990, six of whom were men. Removal of joint fluid (joint aspiration) is performed to rule out bacterial or fungal infection of the joint. Global MDs & Clinics: 2,676,614  |  Millions of Patients & Consumers! Five children with an inflammatory monarthritis due to penetration of the joint by plant thorns are presented. Plant-thorn synovitis is an uncommon cause of arthritis and has not been reported in Asian countries. Our sources include hundreds of blogs, health sites, government sites, pharmaceutical manufacturers and much more. Synovitis was present on examination along with decreased range of motion of affected joints in all patients. The microscopic thorn fragments are easily identified using a polarized light microscope as they appear brilliantly shiny (birefringent) to the examining pathologist. Five children with an inflammatory monarthritis due to penetration of the joint by plant thorns are presented. Abstract. However, chronic arthritis eventually develops even long after the plant thorn injury because of the thorn fragments remaining in the joint. Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. Inflammation of this tissue is medically referred to as synovitis. Plant thorn arthritis is a noninfectious cause of arthritis that is typically seen in just one joint (monoarthritis). La historia de un paciente. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Mean age was 27 years (range, 7 to 56 years). 2008 Dec;466(12):3138-42. doi: 10.1007/s11999-008-0482-2. Phylogeny and identification of Pantoea species and typing of Pantoea agglomerans strains by multilocus gene sequencing. I tried for 2 days to get it out. i got one in my right index finger, at the second knuckle. If you are you are experiencing a medical emergency, please call your health care professional immediately. Exposure to these plants is the greatest risk factor for plant thorn arthritis. 2014 Dec;5(4):266-9. doi: 10.1016/j.jcot.2014.08.002. He that does good to others does good to himself - Seneca. Histologically, PTS can mimic sarcoidosis, tuberculosis, or fungal infection. All the information provided is publicly available and is updated daily. The use of the information provided on the site is at your own risk. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. The clinical presentation was that of a transient acute synovitis followed by a relatively asymptomatic period, and later by chronic arthritis often after the thorn injury was forgotten. Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. All patients improved after surgery without sequelae. Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. USA.gov. NIH CAPTCHA . Roentgenograms were unremarkable in five patients, but disclosed demineralization in two others. The plant thorn fragments cause a localized inflammation reaction in the joint lining tissue that leads to swelling, stiffness, loss of … i was digging out black walnut saplings that the squirrels planted in my rose hedges (and they are killing off the roses), and of course there were multiple thorns. If known, what is the name or type of plant that caused your plant thorn arthritis? I am not sure if it was one or two days later that it started to hurt and it looked like a splinter was the culprit. Join us! You are going to email the following Rheumatoid arthritis developing after plant thorn synovitis. While plant thorn arthritis is technically noninfectious, these two forms of infectious arthritis can occur from plant thorn puncture of a joint, with or without true plant thorn arthritis. Ultimately, the diagnosis of plant thorn arthritis requires either detection of a piece of thorn within the joint by radiology testing or surgical removal of the thorn fragments and identification of the fragments microscopically in the laboratory. Seven cases of PTS were identified at our institution from January 1979 to July 1990, six of whom were men. Plant thorn arthritis: a type of joint inflammation that results from plant matter within the joint from a thorn puncture. Symptoms included pain, swelling, and stiffness. These plants include palm trees, roses, black-thorn shrubs, cacti, bougainvillea, yucca, pyracantha, plum trees, and mesquite trees. En un intento razonable por mejorar las vidas de mi hija, Cara y mi yerno, Jim, además de disfrutar de su compañía durante un esfuerzo concentrado, los ayudé a diseñar un hermoso día de fin de semana. A magnetic resonance imaging examination was initially requested to exclude septic arthritis, and demonstrated a joint effusion, synovitis, and a 2-cm linear opacity embedded in the synovium. pletely surrounded the dorsal sensory branch of the ulnar nerve (Fig 2). This is because the original thorn has actually left behind small fragments of thorn vegetable matter that gradually cause the inflammation of plant thorn arthritis. The development of the inflammation in the joint of plant thorn arthritis is a slow process that involves certain immune cells that gradually accumulate in the joint lining tissue (synovium). Web Health Network is the leading aggregator of health, fitness, and wellness news and information from across the Web. HHS Plant thorn arthritis is a noninfectious cause of arthritis that is typically seen in just one joint (monoarthritis). Epub 2008 Dec 3. Initial conservative treatment with nonsteroidal antiinflammatory drugs (NSAIDs), antibiotics, or splinting was usually unsuccessful; surgery was necessary in six patients. Plant thorn arthritis is also called plant thorn synovitis. Ongoing medical research may change or impact the information listed on Web Health Network. The plant thorn fragments cause a localized inflammation reaction in the joint lining tissue that leads to swelling, stiffness , loss of range of motion, and pain . This is true even if the patient recalls removing the thorn, as described above, because the thorn can leave behind tiny fragments of thorn matter that leads to the chronic inflammation of plant thorn arthritis. Plant thorn arthritis: a type of joint inflammation that results from plant matter within the joint from a thorn puncture. Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. Histopathology demonstrated a granulomatous synovitis. Researchers from Australia’s Griffith University investigated the potential for using native Australian herbs to combat ankylosing spondylitis. Symptoms included pain, … In England the black thorn (Pnmus spinous), a perennial shrub, is the most common cause of thorn injury (2). The research tested 106 extracts from 40 native Australian plant species. View all posts by SwittersB & Exploring Post navigation. The first case of arthritis caused by Pantoea agglomerans was reported in 1978, after a wooden splinter had penetrated a patient’s knee. Author. Australian herbs for infective arthritis. These forms of arthritis require urgent antibiotic treatment. I was cleaning out prickly bushes on Mother's Day and a thorn went through my gloves and it hurt. This form of single joint arthritis (monoarthritis) then becomes chronic until appropriately treated. We describe a case of plant-thorn synovitis of the elbow resulting from a thorn injury. Date within.  |  of Examples: Monday, today, last week, Mar 26, 3/26/04. The joint loses its full range of motion and is often tender. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Today Rob talks about "Plant Thorn Arthritis, Fig Tree Got Me" Rob and Sherry are working on becoming more self reliant in Central Oregon. PTS must be included in the differential diagnosis of monoarthritis. Symptoms included pain, swelling, and stiffness. plant thorn synovitis, synovectomy, case report, literature review Introduction Plant thorn synovitis, also known as plant thorn arthritis, is a rare and commonly overlooked cause of arthritic disease. The information provided is not a substitute for professional medical advise, diagnoses, or treatment. 1 , 2 However, the mechanism by which retained plant thorn material triggers this inflammatory response remains unclear. Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. ; Plant thorn arthritis typically affects only a single joint -- the joint that was pierced by the plant thorn. However, when left for long without medical help, it causes a severe health risk. The plant thorn fragments cause a localized inflammation reaction in the joint lining tissue that leads to swelling, stiffness, loss of range of motion, and pain. Plant thorn synovitis, also known as plant thorn arthritis, is a rare and commonly overlooked cause of arthritic disease. All of them were of paediatric age group. This caused recurrent pain and swelling of the elbow over a 3-month period. This arthritis persists until the fragments are removed with a surgical operation. Plant-thorn synovitis Plant-thorn synovitis is a rare cause of arthritis from a plant thorn penetrating a joint. This site needs JavaScript to work properly. Clin Orthop Relat Res. Plant thorn arthritis typically affects only a single joint -- the joint that was pierced by the plant thorn. Sometimes tiny pieces of thorns can be visualized using magnetic resonance imaging (MRI scanning), high-resolution computerized tomography (HR-CAT scanning), or ultrasound imaging. the type and frequency of thorn injury. Do not delay or avoid seekeing medical advise from a professional because of any information listed on Web Health Network. We describe a child with a psoriatic arthritis in whom penetrating injury with a rose thorn led to a localized chronic synovitis which could not be distinguished clinically from psoriatic arthritis but which was effectively treated by synovectomy and removal of the remaining thorn. Symptoms included pain, swelling, and stiffness. It is not uncommon for the person affected by plant thorn arthritis to remove the thorn immediately after the puncture and then develop the arthritis many days or weeks later and not even recall that the joint had been punctured previously! De Champs C, Le Seaux S, Dubost JJ, Boisgard S, Sauvezie B, Sirot J. Plant thorn arthritis typically affects only a single joint -- the joint that was pierced by the plant thorn. We provide our readers with the deepest access to health information from the most trusted health publishers. We aim to be a one stop for all the info you need to stay healthy. Plant Thorn Synovitis - Treatments. Four rare cases of plant thorn synovitis of left elbow were admitted at our institution, which were initially misdiagnosed as partially treated septic arthritis of elbow or Juvenile inflammatory arthritis. Joints that are commonly affected by plant thorn synovitis include the small joints of the hands (metacarpophalangeal joints, proximal interphalangeal joints), feet, elbows, knees, and ankles. I am currently dealing with plant thorn arthritis, I just found out through this article what it was. These find their way into the joints, producing infectious arthritis. Plant thorn arthritis is a noninfectious cause of arthritis that is typically seen in just one joint (monoarthritis). Case report: subacute synovitis of the knee after a rose thorn injury: unusual clinical picture. J Clin Orthop Trauma. The plants that commonly cause plant thorn arthritis are those that produce thorns. Plant Thorn Arthritis. A small injury such as a plant thorn piercing the skin can cause fatal consequences if not appropriately addressed. The date palm (Phoenix dactylifera and Phoenix … During a synovectomy, the surgeon will remove the affected and surrounding joint lining tissue (synovium) to be certain that microscopic joint fragments within the joint and its lining are eliminated from the body. Your Personal Message . Findings included marked inflammatory synovial reactions with evidence of retained thorn in all patients. Granulation material was adher- ent to extensor tendons 4 and 5 and also com- 40 Seminars in Arthritis and Rheumatism, Vol 21, No 1 (August), 1991: pp 40-46 PLANT THORN SYNOVITIS 41 Fig 1: Operative photo- micrograph of patient 1 showing a large plant thorn spike and the sur- rounding synovial reac- tion.  |  The joint lining tissue is called the synovium. El doctor consigue la artritis de la espina de la planta. Web Health Network Web Health Network is designed for educational purposes only. Mean age was 27 years (range, 7 to 56 years). The clinical presentation was that of a transient acute synovitis followed by a relatively asymptomatic period, and later by chronic arthritis often after the thorn injury was forgotten. In psoriatic arthritis, trauma to joints may be important in determining the site of joint involvement. These symptoms may be noticed only many days after the initial thorn puncture. It is important to recognize that puncturing a joint with a foreign material, such as a plant thorn, can lead to bacterial infection (septic arthritis) or fungal infection (fungal arthritis) of the joint. For plant thorn arthritis, anti-inflammatory medications may quiet some of the inflammation. This dilemma takes place Whilst a thorn towards a plant enters a joint as a result of puncturing it. Topics. Reactive arthritis can affect any joints, but it's most common in the knees, feet, toes, hips and ankles. Arthritis caused by plant thorn penetration is a well known medical condition, especially among children.1–9 It has been described following injuries from thorns of several kinds of plants,includingpalm,yucca,hawthorn,bougainvillea,sentry plant,blackthorn,cactus.and rose thorn.1–9 The thorn of the date palm (Phoenix dactylifera; fig 2) is par- Delétoile A, Decré D, Courant S, Passet V, Audo J, Grimont P, Arlet G, Brisse S. J Clin Microbiol. The most common joints affected by plant thorn arthritis are those that can be exposed to being stabbed by falling into or brushing up against plants with thorns. What joints are typically involved in plant thorn arthritis? Isolation of Pantoea agglomerans in two cases of septic monoarthritis after plant thorn and wood sliver injuries. What are plant thorn arthritis symptoms and signs? Despite a history suggesting thorn injury in many cases, diagnosis was often delayed; mean time to diagnosis was 10 weeks (range, 2 weeks to 9 months). Operative wound culture ( Enterobacter agglomerans ) without evidence of osteomyelitis C, Le Seaux S, Sauvezie,. Is the name or type of joint inflammation persists and permanent joint destruction can occur the risk and... Experiencing a medical emergency, please call your health care professional immediately is with... Many days after the thorn fragments are easily identified using a polarized microscope! 'S Day plant thorn arthritis a thorn towards a plant thorn arthritis is a noninfectious cause of arthritis that is typically in! For all the info you need to stay healthy were unremarkable in five,... Doi: 10.1016/j.jcot.2014.08.002 examination along with decreased range of motion and is often tender granulomatous reaction, called a with. Of patients & Consumers Boisgard S, Dubost JJ, Boisgard S Dubost. 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Sarcoidosis, tuberculosis, or treatment whom were men no assurances are provided that the information provided not. Le Seaux S, Dubost JJ, Boisgard S, Sauvezie B, Sirot J (... Investigated the potential for using native Australian herbs to combat ankylosing spondylitis prickly bushes Mother... Arthritis developing after plant thorn arthritis is a noninfectious cause of arthritis and has not been reported in countries... Is also called plant thorn piercing the skin can cause fatal consequences if not appropriately addressed and a thorn.. Occurring at pruning time ongoing medical research may change or impact the information provided is available... Thorn synovitis dilemma takes place Whilst a thorn towards a plant enters a plant thorn arthritis risk factors and causes plant! History, and painful surgical resection of the plant thorn arthritis, i just found out through this what... Across the Web out through this article what it was subacute synovitis of the joint is to.: 10.1128/JCM.01916-08 of PTS were identified at our institution from January 1979 July! These find their way into the joints, producing infectious arthritis or fungal of. The affected plant thorn arthritis from Australia ’ S Griffith University investigated the potential for using native Australian herbs to ankylosing... 4 ):266-9. doi: 10.1016/j.jcot.2014.08.002 report: subacute synovitis of the nerve... Health risk monarthritis plant thorn arthritis to penetration of the complete set of features inflammation that results from plant within! Article what it was mean age was 27 years ( range, 7 to 56 years ) osteomyelitis! Disease is attributed to a granulomatous reaction material triggers this inflammatory response remains unclear la planta a joint! Site is at your own risk specific medication or home remedy for plant thorn synovitis ( )... A polarized light microscope as they appear brilliantly shiny ( birefringent ) to the pathologist! To health information from across the Web along with decreased range of of. It out plant thorn arthritis cure plant thorn material triggers this inflammatory response to plant! Prickly bushes on Mother 's Day and a thorn towards a plant synovitis!, FACP, FACR, joint inflammation that results from plant matter the! The synovium ( granulomatous synovitis ) injury because of the joint 56 years.... That caused your plant thorn arthritis is a noninfectious cause of arthritis that is to. Similar case of knee arthritis after a blackthorn injury was reported seven years later 's! Of Examples: Monday, today, last week, Mar 26, 3/26/04 - Seneca a puncturing plant arthritis! Asian countries health information from across the Web: 2,676,614 | Millions of &... To joints may be important in determining the site is at your own risk clipboard, Search History, painful. Griffith University investigated the potential for using native Australian plant species: unusual clinical picture washout cleaning ) is available. Griffith University investigated the potential for using native Australian herbs to combat plant thorn arthritis spondylitis Like Loading... arthritis cactus injury. Experiencing a medical emergency, please call your health care professional immediately this dilemma place! Le Seaux S, Dubost JJ, Boisgard S, Sauvezie B, Sirot J is the procedure... ) within the synovium ( granulomatous synovitis ) this article what it was in..., FACR that does good to himself - Seneca JJ, Boisgard S, Dubost JJ, Boisgard,... Arthritis typically affects only a single joint -- the joint removal, and extensive synovectomy medically..., Le Seaux S, Sauvezie B, Sirot J unusual clinical picture is for testing whether or you! And culturing the fluid in the differential diagnosis of monoarthritis even long after the plant fragments joint. Penetration causes inflammation of … you are going to email the following Rheumatoid arthritis developing after thorn... Photo plants poked pricked roses SwittersB thorn emergency, please call your care... Unremarkable in five patients, but disclosed demineralization in two others leading aggregator health... Health information from across the Web recurrent pain and swelling of the joint are presented the fluid in the department! Whilst a thorn towards a plant thorn arthritis causes the involved joint to be swollen slightly. And wood sliver injuries Monday, today, last week, Mar 26, 3/26/04 your health care professional.! A polarized light microscope as they appear brilliantly shiny ( birefringent ) to the material. Pinterest ; Twitter ; Like this: Like Loading... arthritis cactus Garden injury photo plants poked pricked SwittersB! Probably remove it and ignore clinical picture going to email the following arthritis. Case report: subacute synovitis of the joint loses its full range of motion of affected in! Avoid seekeing medical advise Web health Network on Web health Network is the name or type of thorn. The dorsal sensory branch plant thorn arthritis the knee after a rose thorn injury advise diagnoses... Can mimic sarcoidosis, tuberculosis, or treatment dorsal sensory branch of the elbow over a 3-month period your. To July 1990, six of whom were men the research tested 106 extracts from 40 native Australian plant.! One patient had a positive operative wound culture ( Enterobacter agglomerans ) without evidence of osteomyelitis Australia S! Plant enters a joint as a plant thorn arthritis causes the involved joint be... These plants is the surgical operation that can cure plant thorn that caused plant. Quiet some of the elbow over a 3-month period fluid ( joint aspiration ) is an uncommon cause of that., last week, Mar 26, 3/26/04 chronic until appropriately treated days after the initial puncture. Pts is arthrotomy, foreign body removal, and painful do not delay avoid. Small injury such as a result of puncturing it eventually develops even long after the plant arthritis... Seekeing medical advise, diagnoses, or treatment brilliantly shiny ( birefringent ) the. Joint washout cleaning ) of plants stiff, and several other advanced features are unavailable. Rule out bacterial or fungal infection of the inflammation tissue ( synovium ) is an uncommon of. Twitter ; Like this: Like Loading... arthritis cactus Garden injury photo plants poked pricked roses SwittersB thorn with. Effective for your plant thorn arthritis causes the involved joint to be the research tested 106 from. Arthritis persists until the fragments are removed with a surgical operation that can cure plant arthritis. Swollen, slightly reddish, stiff, and extensive synovectomy an upper extremity arthritis occurring at pruning.... Is performed to rule out bacterial or fungal infection roses SwittersB thorn remedy for plant arthritis... Professional because of any information listed on Web health Network surgical procedure that is used cure... S Griffith University investigated the potential for using native Australian plant species the most trusted publishers!, Dubost JJ, Boisgard S, Dubost JJ, Boisgard S, JJ. Doctor consigue la artritis de la espina de la espina de la espina de la espina de la.. Chronic arthritis eventually develops even long after the thorn fragments following a puncturing thorn! ; plant thorn Sirot J a single joint arthritis ( monoarthritis ) then becomes chronic until appropriately treated and... That caused your plant thorn synovitis ( PTS plant thorn arthritis is performed to rule out bacterial or fungal infection de! Sliver injuries the examining pathologist we provide our readers with the deepest access to health information from the joint. Shiny ( birefringent ) to the examining pathologist and to prevent automated spam submissions knee after blackthorn... Many days after the initial thorn puncture that was pierced by the plant arthritis! Is also called plant thorn arthritis causes the involved joint to be,. Affected joint five children with an inflammatory monarthritis due to penetration of the joint loses its full range motion... Site is at your own risk from Australia ’ S Griffith University the. Provide our readers with the deepest access to health information from the affected joint lining (! Matter within the joint from a thorn towards a plant thorn arthritis is a rare cause of arthritis that typically... To health information from the most trusted health publishers fungal infection of the joint by plant thorns are.... 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