疑似感染的痛风性腱鞘炎。病例报告。
Gouty tenosynovitis simulating an infection. A case report.
作者信息
Abrahamsson S O
出版信息
Acta Orthop Scand. 1987 Jun;58(3):282-3. doi: 10.3109/17453678709146486.
PMID:3630664
Abstract
Gouty tenosynovitis in the hand may be misdiagnosed as infectious or rheumatoid synovitis. Our case initially was treated as infectious tenosynovitis, but at reoperation gouty deposits were found penetrating the flexor tendon sheath. Tenosynovectomy and excision of intratendinous tophi were performed with a good result. Gouty synovitis is diagnosed in specimens fixed with ethanol because formalin destroys the typical crystals of urate.
摘要
手部痛风性腱鞘炎可能被误诊为感染性或类风湿性滑膜炎。我们的病例最初被当作感染性腱鞘炎治疗，但再次手术时发现痛风沉积物穿透了屈肌腱鞘。进行了腱鞘切除术和肌腱内痛风石切除术，效果良好。痛风性滑膜炎在用乙醇固定的标本中得以诊断，因为福尔马林会破坏尿酸盐的典型晶体。
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