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作 者:Sabarinath Mahadevan Balakrishnan Navaneethakrishnan Mahabaleshwar Mamadapur
机构地区:[1]Department of Rheumatology,O.M.Health Care Clinic,Chennai,Tamilnadu,India [2]Department of Rheumatology,Madras Institute of Orthopaedics and Traumatology Hospital,Chennai,Tamilnadu,India [3]Department of Clinical Immunology and Rheumatology,JSS Medical College and Hospital,JSS Academy of Higher Research,Mysore,Karnataka,India
出 处:《Rheumatology & Autoimmunity》2024年第3期192-193,共2页风湿病与自身免疫(英文)
摘 要:A 50-year-old male patient with a history of chronic tophaceous gout presented with low back pain and bilateral shoulder,hip,knee,and buttock pain for 1 year.He had nocturnal exacerbations of buttock pain and significant early morning stiffness,which improved with nonsteroidal anti-inflammatory agents(NSAIDs).On examination,he had multiple hard,lobulated tophaceous deposits over the bilateral elbow,hand,leg,and foot.There was no ulcer or discharge from tophi(Figure 1A).He had restriction of movements in the lower back and bilateral positive faber test localized to the back.
关 键 词:GOUT gouty sacroiliitis TOPHI
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