同一关节同时发生痛风和假性痛风的罕见病例。

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Malays Orthop J. 2019 Mar;13(1):54-56. doi: 10.5704/MOJ.1903.011.

Pseudogout and gout are common types of inflammatory joint disease in the elderly. However, the existence of both in a single joint in a patient is relatively rare. This case report describes an interesting case of a 42-year old man who presented with simultaneous gout and pseudogout in the knee joint, diagnosed via polarised light microscopy. There was no radiographic evidence of pseudogout. This case report serves to illustrate the need to actively exclude concomitant pseudogout, especially in patients suffering from recurrent attacks of gout.

假性痛风和痛风是老年人常见的炎性关节疾病类型。然而，患者单个关节同时存在这两种疾病的情况相对少见。本病例报告描述了一名42岁男性的有趣病例，该患者膝关节同时出现痛风和假性痛风，通过偏振光显微镜检查确诊。没有假性痛风的影像学证据。本病例报告旨在说明需要积极排除合并的假性痛风，尤其是在痛风反复发作的患者中。