Gouty arthritis in a female patient with mixed connective tissue disease.
Gout with systemic lupus erythematosus (SLE) or progressive systemic sclerosis (PSS) has rarely been reported, whereas mixed connective tissue disease (MCTD) with the demonstration of intra-articular monosodium urate crystals has never been reported. We describe an unusual case of MCTD (SLE-PSS) in a 37-year-old woman who developed acute gouty arthritis. Arthrocentesis and synovianalysis may be necessary to differentiate gout from the arthropathy of MCTD.
Huang
C M
CM
Department of Internal Medicine, China Medical College Hospital, Taichung, Taiwan, ROC.
D000328:Adult; D015210:Arthritis, Gouty / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008947:Mixed Connective Tissue Disease / Q000150:complications*; D012008:Recurrence; D013582:Synovial Fluid / Q000737:chemistry / Q000166:cytology; D014527:Uric Acid / Q000097:blood
D014527:Uric Acid