title: Chyle and gout causing acute monoarthritis: some unusual findings.
abstract: 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 the knee can occur due to gout. Chylous effusions in the knee are rare. This combination of findings in the same joint has not been described in the literature. We emphasise the importance of history of trauma in acute monoarthritis. We discuss the unusual features of this case.
authors.affiliation: General Internal Medicine, Diabetes and Endocrinology, Jenny O'Neill Diabetes Centre, Derbyshire Royal Infirmary, London Road, Derby, DE2 1QY, UK. kodali@doctors.org.uk
authors.forename: Venkata Ranga Rao
authors.initials: VR
authors.lastname: Kodali
authors.forename: Nigel Andrew
authors.initials: NA
authors.lastname: Dunn
mesh_terms: D000208:Acute Disease; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001168:Arthritis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D002913:Chyle / Q000737:chemistry; D003937:Diagnosis, Differential; D005122:Exudates and Transudates / Q000737:chemistry; D006073:Gout / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D006801:Humans; D007270:Injections, Intra-Articular; D007718:Knee Injuries / Q000150:complications; D007719:Knee Joint / Q000378:metabolism / Q000473:pathology; D008297:Male; D008859:Microscopy, Polarization; D013582:Synovial Fluid / Q000737:chemistry; D014222:Triamcinolone Acetonide / Q000008:administration & dosage; D014527:Uric Acid / Q000032:analysis
chemical_list: D000893:Anti-Inflammatory Agents; D014527:Uric Acid; D014222:Triamcinolone Acetonide