• Title/Summary/Keyword: 통풍성 관절염

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Comparison of MR Findings between Patients with Septic Arthritis and Acute Gouty Arthritis of the Knee (급성 통풍성 슬관절염과 패혈성 슬관절염의 자기공명영상 소견 비교)

  • Su Young Yun;Hye Jung Choo;Hae Woong Jeong;Sun Joo Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1071-1080
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    • 2022
  • Purpose To compare the MR findings of septic and acute gouty arthritis of the knee joint. Materials and Methods This retrospective study included patients who underwent knee MRI for septic or gouty arthritis at our hospital between October 2012 and October 2018. The MR findings were analyzed for the presence of bone marrow edema, soft tissue edema, abscess, pattern of synovial thickening (frondlike, lamellated, diffuse linear), maximum thickness of the synovium, and joint effusion volume. The gouty (n = 5) and septic arthritis (n = 10) groups were compared using the Wilcoxon rank-sum test and Fisher's exact test. Results No statistically significant differences were observed for each item. One patient in the gouty arthritis group and seven in the septic arthritis group had bone marrow edema. Soft tissue abscess formation was only observed in the septic group. The incidence of each synovial thickening pattern was as follows: 100% (diffuse linear) in the gouty arthritis group and 20% (frondlike), 50% (lamellated), and 30% (diffuse linear) in the septic arthritis group. Conclusion Differentiation of gouty arthritis and septic arthritis based on imaging findings is difficult. However, lamellated synovial thickening patterns, bone marrow edema, and soft tissue abscess formation are more commonly observed in patients with septic arthritis than in those with gouty arthritis.

건강생활-관절염이란?

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.30 no.1 s.326
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    • pp.6-9
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    • 2006
  • 관절염은 관절에 염증을 일으키는 현상을 말하며, 염증이란 병든 부위에 부종, 홍조, 발열, 동통과 같은 병리학적인 반응을 특징으로 한다. 관절염은 그 자체가 병명이 아니고 어떤 질환의 한결과로서 나타난다. 그러므로 관절염이 발생하면 그 원인 질환이 무엇인지 찾아보아야 한다. 관절염의 종류는 무려 100여 가지가 넘으며 퇴행성 관절염, 류머티스 관절염, 통풍성 관절염, 루푸스, 통풍 등이 일반적으로 흔한 종류이다.

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The Arthroscopic Treatment of Chronic Gouty Arthritis -The case unresponsive to conservative treatment that associated with acute inflammation- -Report of one case- (만성 통풍성 관절염 환자의 관절경적 치험 - 급성 염증이 병발되어 보존적 치료에 반응하지 않는 경우 - - 증례 보고 -)

  • Kang, Jae Do;Kim, Hyung Chun;Kim, Jin Hyung
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.155-158
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    • 1999
  • Recently arthroscopic procedure was introduced into an effective method when chronic gouty arthritis associated with acute inflammation is unresponsive to conservative treatment. The purpose of this study is to cvaluate the efficacy of tophi excision during this procedure. We tried to excise tophi which were known as one of causative materials of acute inflammation as much as possible. We report one case of chronic tophaceous gouty arthritis of the right knee which was satisfactorily treated without recurrence during more than one year after this arthroscopic procedure.

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Acute Low Back Pain from Coexisting Gout and Tuberculous Spondyloarthropathy (급성 요통을 일으킨 결핵과 통풍이 혼재된 척추관절병증)

  • Park, Yung;Ha, Joong Won;Kwon, Ji-Won;Eum, Kwangsik
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.351-356
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    • 2021
  • A 67-year-old male patient with a history of epididymectomy and anti-tuberculosis treatment for epididymis tuberculosis was admitted for acute low back pain and radiating pain. The patient had no history of gout but showed hyperuricemia and a bone destruction lesion in the facet joint and lamina of the lumbar spine. A histology examination was performed after a computed tomography-guided needle biopsy, and the findings were compatible with gout spondyloarthropathy and tuberculous spondylitis. The acute symptoms improved after conservative treatment for gouty arthritis. When patients with hyperuricemia risk factors, such as taking anti-tuberculosis drugs, complain of acute low back pain, gout spondyloarthropathy should be considered in a differential diagnosis.

Chronic Multiple Gouty Arthritis Diagnosed during Anti-Tuberculosis Treatment of Recurrent Tuberculous Arthritis: A Case Report (재발성 결핵성 관절염의 항결핵제 치료 중 진단된 만성 다발성 통풍성 관절염: 증례 보고)

  • Oh, Hyun Cheol;Choi, Yoon Jung;Ha, Joong Won;Park, Sang Hoon;Kim, Sang Hee;Yoon, Han Kook
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.116-119
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    • 2018
  • Gout occurs mainly in monoarthritis and is found in more than 50% of cases in hallux of the foot. In addition, symptoms sometimes begin in the hand, wrist, and elbow, but they are rarely observed in the spine. The patient was referred for tuberculous polyarthritis due to antituberculosis drug failure. Inflammatory findings were observed in the lumbar, elbow, wrist, hand and foot areas. Surgery was performed on the foot area and a pathology diagnosis revealed gouty arthritis. We report this case with a review of the relevant literature.

A Osteochondroma of Calcaneus with Gouty Arthritis of the Subtalar Joint (A Case Report) (거골하 관절에서 발생한 통풍성 관절염을 동반한 골연골종(1예 보고))

  • Gwak, Heui Chul;Kim, Jeon Gyo
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.4
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    • pp.280-285
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    • 2012
  • Osteochondroma, which is an osteocartilaginous exostosis, is essentially the most common primary bone tumor. These benign neoplasms are generally asymptomatic and have a relatively small potential for adverse effects. Calcaneal osteochondroma is rare, furthermore osteochondroma accompanying with gouty arthritis is very rare. Also, the subtalar joint is not a classic site of acute gout. In this report, we report the case of a patient who experienced an unusual calcaneal osteochondroma with undiagnosed gouty arthritis of the subtalar joint.

당뇨병과 비만

  • 김성래
    • The Monthly Diabetes
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    • s.148
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    • pp.16-17
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    • 2002
  • 비만과 관련된 질환은 당뇨병, 고혈압, 고지혈증, 죽상경화증(동맥경화증), 심근경색증, 지방간, 담석증, 골 관절염, 통풍, 폐쇄성 수면 무호흡증, 대장암, 직장암, 전립선암, 유방암, 자궁내막암 등의 각종 암, 불안, 우울, 적응장애, 히스테리 등의 심리적 질환 등이 있다. 비만이 있을 때 우리 몸에서는 인슐린 자체에 대한 저항성이 생겨서 말초조직에서의 포도당 이용이 감소된다. 연구에 의하면 표준체중의 45$\%$ 이상을 초과한 비만환자는 당뇨병 발생의 위험도가 30배 증가된다고 알려져 있다. 비만이 있을 때 흔히 동반되는 질환들 중 특히 고혈압, 고지혈증, 죽상경화증 등의 질환은 당뇨가 있을 때 흔히 동반될 수 있는 질환들이고, 인슐린 저항성과 깊은 관계가 있는 질환들로 당뇨인들에게 비만은 매우 중요한 질환이라고 할 수 있겠다.

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