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A patient who had systemic lupus erythematosus developed an acute synovitis symptomatically resembling septic arthritis: however, the synovial effusion was chylous, a unique occurrence. Significant differences, quantitatively and qualitatively, between the lipids of the blood and those of the synovial fluid suggested the possibility of synthesis of the lipids in synovial tissues.
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Ryan et al. (1973) studied this question.
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