Τίτλος:
Osteolytic lesions of the patella as an early manifestation of gout
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
We describe the case of a 60-year-old patient who presented a
pre-patellar mass for a period of 2 months, which did not respond to
NSAIDs and antibiotic treatment. At physical history, the patient
mentioned a recent direct hit at the pre-patellar region. Moreover, he
stated that the lesion was painful and fast progressing. Clinical
examination revealed the presence of the pre-patellar mass. At
palpation, the pre-patellar area was found solid, warm and swollen. No
other signs of systemic inflammation were detected. Aspiration of the
pre-patellar area with fine needle did not revealed the nature of the
lesion. Therefore, we proceeded to a surgical resection of the mass, at
healthy margins. Pathologoanatomic examination set the diagnosis of
gout. Such an early manifestation of gout is extremely rare and should
always be taken into account when one is dealing with painful syndromes
of the pre-patellar region.
Συγγραφείς:
Evangelopoulos, D. S.
Kontovazainitis, P.
Nomikos, G. and
Kokkinis, E. C.
Korres, D. S.
Περιοδικό:
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
Λέξεις-κλειδιά:
gout; arthritis; patella; infection; mass
DOI:
10.1007/s00590-007-0202-8
