초음파 검사로 확인된 엉덩관절을 침범한 통풍성 관절염 1예
A Case of Gouty Arthritis Involving the Hip Joint Diagnosed Using Ultrasonography
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초록
엉덩관절에 발생한 통풍에 대한 증례는 매우 드물다. 저자들은 비전형적인 부위인 엉덩관절을 침범한 통풍성 관절염을 초음파 검사 및 관절 천자액 검사로 확진하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Gout is a clinical syndrome resulting from the deposition of monosodium urate monohydrate. Gouty arthritis is characterized by hyperuricemia and recurrent attacks of typical mono-or polyarthritis. Urate deposition frequently involves the articular cartilage, subchondral bone, synovial membrane, joint capsule, and periarticular tissues. The first metatarsophalangeal joint is most commonly involved, and other frequently affected joints include the ankle, knee, and tarsal area. However, the hip joint is very rarely affected. We herein report a case of gouty arthritis presenting with hip synovitis diagnosed using ultrasonography. (Korean J Med 2012;83:145-149)
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