Acute Gouty Arthritis Presented after Pyrazinamide Treatment in a Patient with Chronic Renal Insufficiency / 대한신장학회잡지
Korean Journal of Nephrology
;
: 586-589, 2003.
Article
in Korean
| WPRIM
| ID: wpr-50999
ABSTRACT
Although arthralgia with or without hyperuricemia commonly occurs in a patient receiving antituberculous treatment including pyrazinamide, acute gouty arthritis is rarely reported. Here we report a case of acute gouty arthritis presented after antituberculous treatment in a patient with asymptomatic hyperuricemia and mild renal insufficiency. A 76-year-old woman complained sudden onset of painful swelling in both first metatarsophalangeal joints 9 weeks after antituberculous treatment. She had hypertensive nephropathy with mild renal insufficiency and asymptomatic hyperuricemia for 8 years. Needle aspiration of the joint fluid demonstrated needle-shaped strongly negative birefringent monosodium urate crystal. The painful swelling improved with steroid and colchicine.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pyrazinamide
/
Tuberculosis
/
Uric Acid
/
Arthritis, Gouty
/
Colchicine
/
Arthralgia
/
Hyperuricemia
/
Renal Insufficiency
/
Renal Insufficiency, Chronic
/
Joints
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2003
Type:
Article
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