Yoshida Hirofumi
Department of General Internal Medicine, Rakuwakai Otowa Hospital, Otowachinji-cho 2, Yamashina-ku, Kyoto, Japan.
N Z Med J. 2016 Dec 16;129(1447):84-85.
A 93-year-old woman acutely developed fever associated with pain and swelling around her left wrist. Physical examination revealed fusiform symmetric swelling of the entire digits, digits held in partial flexion, tenderness along the flexor tendon sheath and pain along the tendon with passive digits extension. Gram stain of collected fluid showed the presence of calcium pyrophosphate dihydrate crystals.
一名93岁女性突然出现发热，伴有左手腕周围疼痛和肿胀。体格检查发现所有手指呈梭形对称肿胀，手指呈部分屈曲状，屈肌腱鞘有压痛，被动伸展手指时肌腱疼痛。采集液体的革兰氏染色显示存在二水焦磷酸钙晶体。
