Is it easy to clinically distinguish inflammatory arthritis of bacterial origin from monoarthritis attacks of gout disease?

Atik, O. Şahap; Ergişi, Yılmaz; Ayanoğlu, Tacettin; Tokgöz, Mehmet Ali; Sezgin, Erdem Aras; Göçün, Pınar Uyar

doi:10.5606/ehc.2016.33

Cited by 2 publications

(2 citation statements)

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“…Although hyperuricemia is a typical feature of gout, its absence does not always rule out the diagnosis. [ 7 , 13 ] In our case, we used MRI to investigate differential diagnosis including malignancies. The recent literature recommends utility of both ultrasound and MRI in the diagnosis of gout.…”

Section: Discussionmentioning

confidence: 99%

Gout tophus in transferred tendons after 33 years: A case report

et al. 2021

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Surgical site gout is an extremely rare complication that is difficult to diagnose, particularly in patients without a history of gout. A 57-year-old male patient was admitted with no previous history of gout, complaining of surgical site gout located at the junction where flexor carpi ulnaris tendon was transferred to extensor digitorum communis tendon after 33 years of the initial surgery. The patient was presented with a progressive swelling over the last three months which was located on the dorsoulnar side of the right wrist joint. Magnetic resonance imaging revealed an iso/hypointense mass. During the excisional biopsy, retained non-absorbable suture materials were observed within the mass. Histopathological examination result was reported as a typical gout tophus. No recurrence was observed after 18 months of follow-up. In conclusion, surgical site gout may be observed at transferred tendons years after the initial surgery.

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Section: Discussionmentioning

confidence: 99%

Gout tophus in transferred tendons after 33 years: A case report

et al. 2021

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“…One of the most important features of SA is synovial joint infiltration by polymorphic nuclear leukocytes and macrophages. [ 1 - 4 ] These phagocytic cells respond to septic stimulation by producing reactive oxygen species (ROS). [ 5 , 6 ] ROS are produced by the mitochondria in aerobic cells due to increases during cell damage.…”

Section: Introductionmentioning

confidence: 99%