1/14. Thoracic cord compression due to gout: a case report and literature review.An 82-year-old man developed progressive weakness of both legs 1 month prior to admission. He reported no previous history of trauma. spine radiography revealed marked thoracic and lumbar spondylosis. magnetic resonance imaging of the spine disclosed segmental stenosis with cord compression at T10-11 due to an extradural soft tissue lesion. Based on a diagnosis of thoracic spondylosis with cord compression, decompression laminectomy was performed. During the operation, fragile chalky-white material was noted over the epidural space, compressing the thoracic cord. The granular lesion was meticulously removed until the dura was identified and the cord was decompressed. Histologic examination of the surgical specimen revealed deposits of needle-like crystals that were consistent with monosodium urate, demonstrating that a gouty lesion of the thoracic spine had caused the cord compression. The patient had previously experienced several attacks of gouty arthritis of his feet. The postoperative serum uric acid concentration was 8.5 mg/dL. After surgery, he was treated with benzbromarone 100 mg per day. He was able to walk 3 months after the operation. A high index of suspicion of gouty involvement of the spine is necessary in patients with gout. Surgical decompression followed by regular administration of antigout drugs can provide satisfactory results.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
2/14. Tophaceous gout in an amputation stump in a patient with chronic myelogenous leukemia.gout is a common rheumatologic disorder that can have an unusual clinical presentation. This case report describes the development of a gouty tophus at a site of remote traumatic forearm amputation in a patient with chronic myelogenous leukemia (CML). It further addresses the imaging characteristics of tophaceous gout as well as the differential diagnostic considerations as regards both the imaging findings and the clinical presentation.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
3/14. Recurrent hemarthrosis associated with gout.gout commonly occurs as an acute arthritis. In a 64-year-old man, gout was associated with a proliferative hemosiderin-laden synovitis. The association of recurrent atraumatic hemarthrosis seems not to have been reported in the literature on gout.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
4/14. Idiopathic myelofibrosis associated with renal extramedullary hematopoiesis and nephrotic syndrome: case report.Idiopathic myelofibrosis is characterized by bone marrow fibrosis, anemia, leukoerythroblastosis, and extramedullary hematopoiesis in many organs. Renal abnormalities in idiopathic myelofibrosis have been rarely described in the literature and include extramedullary hematopoiesis in the pararenal or retroperitoneal areas resulting in obstructive uropathy and hemtopoietic cell infiltration in tubulointerstitial area and urolithiasis. These lead to azotemia or acute renal failure, which may respond well to radiotherapy and adjuvant chemotherapy. To our knowledge, there has been only one case report of nephrotic syndrome associated with glomerulonephritis in a myelofibrosis patient; however, no effective treatment was described. Herein, we report the case of a patient with idiopathic myelofibrosis who initially presented with hepatomegaly, anemia, and leukoerythroblastosis. A nephrotic syndrome developed 7 years after initial diagnosis. Renal biopsy disclosed the unique pathological finding of simultaneous mesangial proliferative glomerulonephritis, renal extramedullary hematopoiesis, and gouty nephropathy. Despite treatment with busulfan, proteinuria persisted that implied irreversible glomerular injury and a terminal prognosis. We focus on the unusual pathological finding and the association between nephrotic syndrome and idiopathic myelofibrosis.- - - - - - - - - - ranking = 1.462792184076keywords = injury (Clic here for more details about this article) |
5/14. chyle and gout causing acute monoarthritis: some unusual findings.A 67-year-old man presented with acute monoarthritis of the right knee. Aspiration was carried out under aseptic precautions. This yielded a milky appearing fluid. Polarized microscopic examination confirmed uric acid crystals. The patient had a history of trauma to the joint. Acute monoarthritis of the knee can occur due to gout. Chylous effusions in the knee are rare. This combination of findings in the same joint has not been described in the literature. We emphasise the importance of history of trauma in acute monoarthritis. We discuss the unusual features of this case.- - - - - - - - - - ranking = 2keywords = trauma (Clic here for more details about this article) |
6/14. case reports: pathologic fracture of the patella from a gouty tophus.Fracture of the patella is a relatively common condition seen in patients with trauma. We report one patient with known gout who sustained relatively minor trauma that resulted in a patellar fracture. An intraoperative biopsy confirmed that much of the patella had been replaced with gouty tophus. gout is a rare cause of patellar fracture, with few documented cases. Postoperative management of patients with patella fractures secondary to gout may be routine with the addition of medical management for the underlying pathologic process.- - - - - - - - - - ranking = 2keywords = trauma (Clic here for more details about this article) |
7/14. Bullous tophi in gout.Two gouty patients developed bullae containing massive numbers of monosodium urate crystals. Both patients had had treatment with systemic corticosteroids. A burn precipitated one bulla, showing that local tissue injury can be a factor in tophus localization.- - - - - - - - - - ranking = 1.462792184076keywords = injury (Clic here for more details about this article) |
8/14. Gouty infiltration of a flexor tendon simulating rupture.A 28-year-old hyperuricemic man injured his left long finger and presented with a possible rupture of the flexor digitorum profundus. Operative exploration revealed gouty infiltration of the flexor tendon within its fibrous synovial sheath. Urate crystal deposition in tendons is rare. Superimposed trauma was a possible predisposing factor.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
9/14. Atraumatic avascular necrosis of the talus associated with hyperuricemia.Although the presence of hyperuricemia and avascular necrosis of the hip is well documented, a similar association in the talus seems not to have been previously reported. The clinical and radiographic findings were confirmed by the histologic alterations in bone structure. Successful arthrodesis of the destroyed left ankle joint was accomplished by iliac bone graft.- - - - - - - - - - ranking = 4keywords = trauma (Clic here for more details about this article) |
10/14. Tophaceous gout of the patella with primary hyperparathyroidism.The case of an 81-year-old woman with persistent post-traumatic pain of the knee linked to tophaceous gout of the patella is presented. This gout was associated with adenomatous primary hyperparathyroidism. The relationship between hyperuricemia, hyperparathyroidism and chronic renal failure is discussed.- - - - - - - - - - ranking = 1keywords = trauma (Clic here for more details about this article) |
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