Gout case study one: Difference between revisions
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[[Image:Gout case 1.jpg|left|thumb|400px|This is a gross photograph of an index finger from a patient with gout. The finger has been sectioned longitudinally to demonstrate the distal interphalangeal joint. Note the white chalky material within and adjacent to the joint (arrows). ]] | [[Image:Gout case 1.jpg|left|thumb|400px|This is a gross photograph of an index finger from a patient with gout. The finger has been sectioned longitudinally to demonstrate the distal interphalangeal joint. Note the white chalky material within and adjacent to the joint (arrows). ]] | ||
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[[Image:Gout case 8.jpg|left|thumb|400px|This is a gross photograph of a tophus on the great toe of another patient with gout (arrow). The healed surgical incision and the size of this tophus indicate that this was a long-standing problem for this patient. ]] | [[Image:Gout case 8.jpg|left|thumb|400px|This is a gross photograph of a tophus on the great toe of another patient with gout (arrow). The healed surgical incision and the size of this tophus indicate that this was a long-standing problem for this patient. ]] | ||
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==Sources== | |||
Copyleft Images obtained courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology [http://www.peir.net] | |||
== References == | == References == | ||
{{ | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Arthritis]] | |||
[[Category:Rheumatology]] | |||
[[Category:Disease]] | |||
[[Category:Needs overview]] | |||
Latest revision as of 21:55, 29 July 2020
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Case Studies |
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Gout case study one On the Web |
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American Roentgen Ray Society Images of Gout case study one |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Case #1
Clinical Summary
This patient was diagnosed with gout approximately 20 years ago. At that time, he noted the gradual onset of pain in the left knee, followed by swelling, redness and heat, all of which persisted for approximately one month. Shortly thereafter, he had periodic episodes of hot, painful, swollen joints involving the left knee, left ankle, and both first metatarsophalangeal joints. At this time the patient was hospitalized for evaluation of these arthritides. Serum uric acid values on three separate occasions were 8.0, 9.3, and 8.7 mg/dl. In addition to the presence of the painful swollen joints, a gouty tophus was present on the left arm. The patient was readmitted to the hospital from time to time because of acute exacerbations of gouty arthritis. On the most recent hospital admission, a 3-cm tophus was found over the right elbow, as well as several smaller tophi over the right hand.
Autopsy Findings
The specimen consisted of an elliptically shaped, mottled, yellow-white irregular hard mass, measuring 8.0 x 5.0 x 2.0 cm. in diameter.
Histopathological Findings
Sources
Copyleft Images obtained courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology [2]