Document Detail

Chyle and gout causing acute monoarthritis: some unusual findings.
MedLine Citation:
PMID:  15674658     Owner:  NLM     Status:  MEDLINE    
A 67-year-old man presented with acute monoarthritis of the right knee. Aspiration was carried out under aseptic precautions. This yielded a milky appearing fluid. Polarized microscopic examination confirmed uric acid crystals. The patient had a history of trauma to the joint. Acute monoarthritis of the knee can occur due to gout. Chylous effusions in the knee are rare. This combination of findings in the same joint has not been described in the literature. We emphasise the importance of history of trauma in acute monoarthritis. We discuss the unusual features of this case.
Venkata Ranga Rao Kodali; Nigel Andrew Dunn
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-07-15
Journal Detail:
Title:  Clinical rheumatology     Volume:  24     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-01-27     Completed Date:  2005-06-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  70-1     Citation Subset:  IM    
General Internal Medicine, Diabetes and Endocrinology, Jenny O'Neill Diabetes Centre, Derbyshire Royal Infirmary, London Road, Derby, DE2 1QY, UK.
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MeSH Terms
Acute Disease
Anti-Inflammatory Agents / administration & dosage
Arthritis / drug therapy,  etiology*,  pathology
Chyle* / chemistry
Diagnosis, Differential
Exudates and Transudates / chemistry
Gout / complications*,  metabolism,  pathology
Injections, Intra-Articular
Knee Injuries / complications
Knee Joint* / metabolism,  pathology
Microscopy, Polarization
Synovial Fluid / chemistry
Triamcinolone Acetonide / administration & dosage
Uric Acid / analysis
Reg. No./Substance:
0/Anti-Inflammatory Agents; 69-93-2/Uric Acid; 76-25-5/Triamcinolone Acetonide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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