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表现为肘部假瘤的巨大痛风石：一种罕见的表现。

Massive Gouty Tophi Presenting as Pseudotumor of the Elbow: A Rare Presentation.

作者信息

Jalan Divesh, Maley Deepak Kumar, Elhence Abhay, Elhence Poonam, Jain Princi

机构信息

Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

Orthopaedics, MediCiti Institute of Medical Sciences, Hyderabad, IND.

出版信息

Cureus. 2020 Jan 25;12(1):e6769. doi: 10.7759/cureus.6769.

DOI:10.7759/cureus.6769
PMID:32140336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7039359/
Abstract

Gout is a systemic metabolic disorder characterized by hyperuricemia and deposition of monosodium urate crystals in joints and other extra-articular tissues. Poorly controlled cases progress to chronic gout with tophi, which can sometimes assume massive sizes. We report one such case of a 39-year-old male with poorly controlled polyarticular tophaceous gout presenting with a massive swelling of the left elbow simulating a soft tissue tumor. Subsequent investigations confirmed it to be a massive tophus which was then surgically excised, as the mass was not responding to the medical management. At the latest follow-up after two years, the patient has full function of the elbow and gout is well controlled with medications.

摘要

痛风是一种全身性代谢紊乱疾病，其特征为高尿酸血症以及单钠尿酸盐结晶在关节和其他关节外组织中的沉积。控制不佳的病例会进展为伴有痛风石的慢性痛风，痛风石有时会长得很大。我们报告了这样一例病例，一名39岁男性，多关节痛风石性痛风控制不佳，左肘部出现巨大肿胀，类似软组织肿瘤。后续检查证实这是一个巨大痛风石，由于肿块对药物治疗无反应，遂进行了手术切除。在两年后的最新随访中，患者肘部功能完全恢复，痛风通过药物得到了良好控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/8c00c3870be8/cureus-0012-00000006769-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/fc105ef86e94/cureus-0012-00000006769-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/8df355415b8c/cureus-0012-00000006769-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/90ce2520ac33/cureus-0012-00000006769-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/912b288873d4/cureus-0012-00000006769-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/696d8bdb4e58/cureus-0012-00000006769-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/a7f37df0f6f1/cureus-0012-00000006769-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/8c00c3870be8/cureus-0012-00000006769-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/fc105ef86e94/cureus-0012-00000006769-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/8df355415b8c/cureus-0012-00000006769-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/90ce2520ac33/cureus-0012-00000006769-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/912b288873d4/cureus-0012-00000006769-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/696d8bdb4e58/cureus-0012-00000006769-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/a7f37df0f6f1/cureus-0012-00000006769-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3624/7039359/8c00c3870be8/cureus-0012-00000006769-i07.jpg

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Computed tomography and magnetic resonance imaging findings in gouty arthritis involving large joints of the upper extremities.痛风性关节炎累及上肢大关节的 CT 和 MRI 表现。
BMC Med Imaging. 2022 Sep 14;22(1):167. doi: 10.1186/s12880-022-00894-3.
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Multiple Subcutaneous Gouty Tophi Even with Appropriate Medical Treatment: Case Report and Review of Literature.

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The last defence? Surgical aspects of gouty arthritis of hand and wrist.手部和腕部痛风性关节炎的外科治疗：最后的防线？
即使接受适当药物治疗仍出现多发性皮下痛风石：病例报告及文献综述
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