Chyle and gout causing acute monoarthritis: some unusual findings

A 67-year-old man presented with acute monoarthritis of the right knee. Aspiration was carried out under aseptic precautions. This yielded a milky appearing fluid. Polarized microscopic examination confirmed uric acid crystals. The patient had a history of trauma to the joint. Acute monoarthritis of...

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Bibliographic Details
Published inClinical rheumatology Vol. 24; no. 1; pp. 70 - 71
Main Authors Kodali, Venkata Ranga Rao, Dunn, Nigel Andrew
Format Journal Article
LanguageEnglish
Published Germany Springer Nature B.V 01.02.2005
Subjects
Acute Disease
Aged
Anti-Inflammatory Agents - administration & dosage
Arthritis - drug therapy
Arthritis - etiology
Arthritis - pathology
Chyle - chemistry
Diagnosis, Differential
Exudates and Transudates - chemistry
Gout - complications
Gout - metabolism
Gout - pathology
Humans
Injections, Intra-Articular
Knee Injuries - complications
Knee Joint - metabolism
Knee Joint - pathology
Male
Microscopy, Polarization
Synovial Fluid - chemistry
Triamcinolone Acetonide - administration & dosage
Uric Acid - analysis
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Summary:A 67-year-old man presented with acute monoarthritis of the right knee. Aspiration was carried out under aseptic precautions. This yielded a milky appearing fluid. Polarized microscopic examination confirmed uric acid crystals. The patient had a history of trauma to the joint. Acute monoarthritis of the knee can occur due to gout. Chylous effusions in the knee are rare. This combination of findings in the same joint has not been described in the literature. We emphasise the importance of history of trauma in acute monoarthritis. We discuss the unusual features of this case.
Bibliography:ObjectType-Case Study-2
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ISSN:0770-3198
1434-9949
DOI:10.1007/s10067-004-0962-z