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假性痛风时滑液白细胞计数升高;可能与化脓性关节炎混淆。

High synovial fluid white blood cell counts in pseudogout; Possible confusion with septic arthritis.

作者信息

Frischnecht J, Steigerwald J C

出版信息

Arch Intern Med. 1975 Feb;135(2):298-9. doi: 10.1001/archinte.135.2.298.

DOI:10.1001/archinte.135.2.298
PMID:167668
Abstract

During a 12-month period, we have treated five patients with acute inflammatory arthritis and synovial fluid leukocyte counts of 65,000 to 100,00/cu mm with 93% to 100% polymorphonuclear cells, calcium pyrophosphate dihydrate crystals in the synovial fluid, and negative cultures. Four of these five were origingally treated for septic joints. We would like to emphasize this relatively uncommon, but important manifestation of pseudogout.

摘要

在12个月的时间里,我们治疗了5例急性炎症性关节炎患者,其滑液白细胞计数为65,000至100,000/立方毫米,多形核细胞占93%至100%,滑液中有焦磷酸钙二水合物晶体,培养结果为阴性。这5例患者中有4例最初被诊断为化脓性关节炎。我们想强调这种相对不常见但重要的假性痛风表现。

相似文献

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High synovial fluid white blood cell counts in pseudogout; Possible confusion with septic arthritis.假性痛风时滑液白细胞计数升高;可能与化脓性关节炎混淆。
Arch Intern Med. 1975 Feb;135(2):298-9. doi: 10.1001/archinte.135.2.298.
2
Pseudogout presenting with low synovial fluid glucose: identification of crystals by gram stain.伴有滑液葡萄糖水平降低的假性痛风:通过革兰氏染色鉴定晶体
Am J Med Sci. 1985 Feb;289(2):68-9. doi: 10.1097/00000441-198502000-00006.
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"Pseudoseptic" pseudogout associated with hypomagnesemia in liver transplant patients.肝移植患者中与低镁血症相关的“假性脓毒症性”假性痛风
Transplantation. 2001 Mar 15;71(5):696-8. doi: 10.1097/00007890-200103150-00022.
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[Needle biopsy in gout and pseudogout (author's transl)].痛风和假性痛风的针吸活检(作者译)
Beitr Pathol. 1976 Apr;157(2):161-82.
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Does the presence of crystal arthritis rule out septic arthritis?晶体性关节炎的存在能否排除感染性关节炎?
J Emerg Med. 2007 Jan;32(1):23-6. doi: 10.1016/j.jemermed.2006.07.019.
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Acute pseudogout simulating septic arthritis.
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Staphylococcal septic arthritis presenting as acute flare of pseudogout: clinical, pathological and arthroscopic findings with a review of the literature.表现为假性痛风急性发作的葡萄球菌性败血症性关节炎:临床、病理及关节镜检查结果并文献复习
J Rheumatol. 1983 Jun;10(3):503-6.
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Calprotectin discriminates septic arthritis from pseudogout and rheumatoid arthritis.钙卫蛋白可区分化脓性关节炎、假性痛风和类风湿关节炎。
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Diagnosis of pseudogout and septic arthritis.假性痛风和化脓性关节炎的诊断。
Br J Rheumatol. 1987 Oct;26(5):379-80. doi: 10.1093/rheumatology/26.5.379.
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The approach to the acute joint and synovial fluid examination.急性关节及滑液检查的方法。
Prim Care. 1984 Jun;11(2):211-8.

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The fate of acutely inflamed joints with a negative synovial fluid culture.关节液培养阴性的急性炎症关节的转归。
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