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初次滑液分析未发现晶体的痛风

Gout without crystals on initial synovial fluid analysis.

作者信息

Romanoff N R, Canoso J J, Rubinow A, Spark E C

出版信息

Postgrad Med J. 1978 Feb;54(628):95-7. doi: 10.1136/pgmj.54.628.95.

Abstract

In five patients with acute arthritis in whom gout was eventually documented, an initial synovial fluid analysis failed to reveal urate crystals. Four of the patients were seen in one hospital during a period of 30 months in which 103 cases of gout were documented on initial aspiration. While this is an uncommon event, the importance of being able to make a definitive diagnosis of gout is such that re-aspiration of the same or other joints may be justified under certain circumstances.

摘要

在最终确诊为痛风的5例急性关节炎患者中,最初的滑液分析未发现尿酸盐结晶。其中4例患者在一家医院就诊,在30个月的时间里,该医院记录了103例痛风患者的首次抽吸情况。虽然这是一个不常见的事件,但能够明确诊断痛风非常重要,在某些情况下,对同一关节或其他关节再次进行抽吸是合理的。

相似文献

1
Gout without crystals on initial synovial fluid analysis.初次滑液分析未发现晶体的痛风
Postgrad Med J. 1978 Feb;54(628):95-7. doi: 10.1136/pgmj.54.628.95.
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Synovial fluid analysis for diagnosis of intercritical gout.用于诊断间歇期痛风的滑液分析
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Monosodium urate crystals in asymptomatic joints.
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本文引用的文献

1
Significance of urate crystals in synovial fluids.
Arch Intern Med. 1963 Jan;111:99-102. doi: 10.1001/archinte.1963.03620250103014.
2
Identification of urate crystals in gouty synovial fluid.痛风性滑液中尿酸盐结晶的鉴定。
Ann Intern Med. 1961 Mar;54:452-60. doi: 10.7326/0003-4819-54-3-452.
3
The inflammatory reaction to microcrystalline sodium urate.
Arthritis Rheum. 1965 Oct;8(5):726-35. doi: 10.1002/art.1780080432.

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