LeBoit P E, Schneider S
Am J Dermatopathol. 1987 Aug;9(4):334-8. doi: 10.1097/00000372-198708000-00007.
A 37-year-old man presented with panniculitis of the legs that, on biopsy, showed aggregates of crystals whose appearance suggested sodium urate. Based on this finding, a uric acid level was obtained which proved to be markedly elevated. The patient subsequently developed gouty arthritis. Gout should be added to the differential diagnosis of causes of panniculitis, and biopsy specimens of panniculitis should be carefully examined for crystals.
一名37岁男性因腿部脂膜炎就诊,活检显示有晶体聚集,其外观提示为尿酸钠。基于这一发现,检测了尿酸水平,结果证实明显升高。该患者随后发展为痛风性关节炎。痛风应列入脂膜炎病因的鉴别诊断中,脂膜炎的活检标本应仔细检查是否存在晶体。