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재발성 결핵성 관절염의 항결핵제 치료 중 진단된만성 다발성 통풍성 관절염: 증례 보고

Chronic Multiple Gouty Arthritis Diagnosed during Anti-Tuberculosis Treatment of Recurrent Tuberculous Arthritis: A Case Report

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초록

Gout occurs mainly in monoarthritis and is found in more than 50% of cases in hallux of the foot. In addition, symptoms sometimes begin in the hand, wrist, and elbow, but they are rarely observed in the spine. The patient was referred for tuberculous polyarthritis due to antituberculosis drug failure. Inflammatory findings were observed in the lumbar, elbow, wrist, hand and foot areas. Surgery was performed on the foot area and a pathology diagnosis revealed gouty arthritis. We report this case with a review of the relevant literature.

Abstract

Gout occurs mainly in monoarthritis and is found in more than 50% of cases in hallux of the foot. In addition, symptoms sometimes begin in the hand, wrist, and elbow, but they are rarely observed in the spine. The patient was referred for tuberculous polyarthritis due to antituberculosis drug failure. Inflammatory findings were observed in the lumbar, elbow, wrist, hand and foot areas. Surgery was performed on the foot area and a pathology diagnosis revealed gouty arthritis. We report this case with a review of the relevant literature.

참고문헌 (9)

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  7. The Korean Orthopaedic Association, "Orthopaedics", pp.356~358 (2013), Choisin
  8. Malik A, "Clinical diagnostic criteria for gout : comparison with the gold standard of synovial fluid crystal analysis", J Clin Rheumatol, 15, pp.22~24 (2009)
  9. Wallace SL, "Preliminary criteria for the classification of the acute arthritis of primary gout", Arthritis Rheum, 20, pp.895~900 (1977)

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