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A study of chronic synovitis with or without arthritis in 75 cases is presented with clinico-pathological correlation. It was observed that out of 44 cases diagnosed clinically as rheumatoid arthritis, histologically the diagnosis was confirmed in 33 cases only. Similarly out of 31 cases diagnosed as nonspecific synovitis only 7 correlated histologically. Thus out of 75 cases of chronic synovitis, the histological diagnosis varied in 35 case (47 per cent).