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Acute monoarthritis associated with positively birefringent maltese cross appearing lipid spherules in a hyperlipidemic diabetic patient

Authors
 Park YB  ;  Lee SK  ;  Song CH  ;  Lee WK  ;  Lee CH  ;  Lee J 
Citation
 YONSEI MEDICAL JOURNAL, Vol.38(4) : 236-239, 1997 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
1997
MeSH
Acute Disease ; Arthritis/complications* ; Arthritis/metabolism* ; Birefringence ; Crystallization ; Diabetes Mellitus/blood* ; Humans ; Hyperlipidemias/complications* ; Lipid Metabolism* ; Male ; Middle Aged ; Synovial Fluid/metabolism*
Abstract
A 63-year old man developed acute monoarthritis in the dorsum of the left foot. Polarized light microscopy of the synovial fluid from his third metatarsophalangeal joint revealed numerous positively birefringent lipid spherules with a maltese cross appearance. Positively birefringent lipid spherules can be found in association with acute, otherwise unexplained arthritis, and may induce synovial inflammation similar to that seen in other types of crystal-induced arthritis. We report a case of acute monoarthritis in which large numbers of positively birefringent lipid spherules were present in a hyperlipidemic diabetic patient.
Files in This Item:
T199702942.pdf Download
DOI
10.3349/ymj.1997.38.4.236
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Yong Beom(박용범)
Lee, Soo Kon(이수곤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177435
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