title: Acute gouty bursitis: report of 15 cases.
abstract: Fifteen cases of acute gouty bursitis were seen among 136 crystal-proved cases of gout. Bursal aspirate yielded yellow or pink fluid in 10, chalky white fluid in 1, and a small amount of bloody fluid in 4. Monosodium urate crystals were present in all. Bursal fluid leucocyte counts averaged 2.9 X 10(9)/1 compared with synovial fluid leucocyte counts that averaged 25.5 X 10(9)/1 in cases of articular gout (P less than 0.05). Gouty, septic, and idiopathic (traumatic) bursitis share clinical features, and detailed bursal fluid analysis is crucial for diagnosis.
mesh_terms: D000208:Acute Disease; D000368:Aged; D002061:Bursa, Synovial / Q000032:analysis; D002062:Bursitis / Q000209:etiology* / Q000378:metabolism / Q000473:pathology; D006073:Gout / Q000150:complications*; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D013582:Synovial Fluid / Q000166:cytology; D014527:Uric Acid / Q000032:analysis
chemical_list: D014527:Uric Acid