| Cytology of urate milk in gouty arthritis: a case report. | |
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MedLine Citation:
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PMID: 17718129 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Synovial fluid (SF) analysis is a useful investigative procedure in the evaluation of various types of arthritides, including gouty arthritis. Rarely, gouty arthritis may present with effusion containing thick, milky white fluid. We report a case of gouty arthritis, describing cytologic features of the urate milk. CASE: A 42-year-old man presented with pain and swelling of multiple joints of long duration. Approximately 3 mL of milky white SF was obtained for white blood cell (WBC) count, with a clinical diagnosis of septic arthritis. Due to the gross nature of the sample, the WBC count could not be performed; however, cytologic examination of the sample revealed a massive amount of classic, needle-shaped urate crystals on routinely stained May-Grünwald-Giemsa smears, favoring a cytologic diagnosis of gouty arthritis. CONCLUSION: Gouty synovitis occasionally presents with thick, milky white urate-laden synovial effusions, which clinically may be mistaken for septic arthritis. This gross nature of the specimen may interfere with the performace of a WBC count on SF samples. |
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Authors:
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Neelaiah Siddaraju; Moatoshi Aier; Parasappa Joteppa Yaranal; Debdatta Basu |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta cytologica Volume: 51 ISSN: 0001-5547 ISO Abbreviation: Acta Cytol. Publication Date: 2007 Jul-Aug |
Date Detail:
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Created Date: 2007-08-27 Completed Date: 2007-09-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370307 Medline TA: Acta Cytol Country: United States |
Other Details:
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Languages: eng Pagination: 586-8 Citation Subset: IM |
Affiliation:
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Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. rajusiddaraju@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ankle / pathology Arthritis, Gouty / pathology* Humans Male Synovial Fluid / cytology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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