Chyle and gout causing acute monoarthritis: some unusual findings

• Published in: Clinical rheumatology Vol. 24; no. 1; pp. 70 - 71
• Main Authors: Kodali, Venkata Ranga Rao, Dunn, Nigel Andrew
• Format: Journal Article
• Language: English
• 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

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...