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Gout is an inflammatory disorder in which urate crystals are deposited in the joints or soft tissues causing severe inflammation and pain. Urate crystals usually deposit in the joints, and sometimes in the extra-articular sites. A 67-year-old woman visited the otolaryngology clinic due to otalgia and discharge from the ear. She had experienced recurrent arthritis in the left second metatarsophalangeal joint from five years ago. She visited the otolaryngology clinic of our university hospital due to persistent inflammation in the ear canal despite treatment with antibiotics. An otoscopic examination showed a polyp-like mass near the eardrum. Computed tomography scan of temporal bone showed thickening of the eardrum and increased soft tissue density in the external ear canal. On histologic examination the polyp was finally found to be a urate crystal mass. She is now in a good state with urate lowering therapy. We report on a Korean case of tophaceous gout in the external ear canal that was misidentified as an inflammatory polyp.
Gout is an inflammatory disorder in which urate crystals are deposited in the joints or soft tissues causing severe inflammation and pain. Urate crystals usually deposit in the joints, and sometimes in the extra-articular sites. A 67-year-old woman visited the otolaryngology clinic due to otalgia and discharge from the ear. She had experienced recurrent arthritis in the left second metatarsophalangeal joint from five years ago. She visited the otolaryngology clinic of our university hospital due to persistent inflammation in the ear canal despite treatment with antibiotics. An otoscopic examination showed a polyp-like mass near the eardrum. Computed tomography scan of temporal bone showed thickening of the eardrum and increased soft tissue density in the external ear canal. On histologic examination the polyp was finally found to be a urate crystal mass. She is now in a good state with urate lowering therapy. We report on a Korean case of tophaceous gout in the external ear canal that was misidentified as an inflammatory polyp.
Gout is an inflammatory disorder in which urate crystals are deposited in the joints or soft tissues causing severe inflammation and pain. Urate crystals usually deposit in the joints, and sometimes in the extra-articular sites. A 67-year-old woman visited the otolaryngology clinic due to otalgia and discharge from the ear. She had experienced recurrent arthritis in the left second metatarsophalangeal joint from five years ago. She visited the otolaryngology clinic of our university hospital due to persistent inflammation in the ear canal despite treatment with antibiotics. An otoscopic examination showed a polyp-like mass near the eardrum. Computed tomography scan of temporal bone showed thickening of the eardrum and increased soft tissue density in the external ear canal. On histologic examination the polyp was finally found to be a urate crystal mass. She is now in a good state with urate lowering therapy. We report on a Korean case of tophaceous gout in the external ear canal that was misidentified as an inflammatory polyp.
권호기사
| 기사명 | 저자명 | 페이지 | 원문 | 목차 |
|---|---|---|---|---|
| 메타분석 | 이영호 | pp.4-9 | ||
| 류마티스 질환에서의 식품과 민간요법 | 김근태 | pp.10-18 | ||
| 염증성 용종으로 오인되었던 외이도의 통풍성 결절 1예 | 윤명재, 오혜진, 구본승, 송영욱, 이준호, 이은봉 | pp.25-28 | ||
| 전신경화증에서 심장흉곽비와 수축기 우심실압 관계 | 이상엽, 임상우, 박준용, 정원태, 이성원 | pp.19-24 | ||
| 류마티스다발근통의 국내 역학 조사 | 이신석 | pp.1-3 | ||
| A Case of True Renal Lupus Vasculitis Combined with Pauci-immune Glomerulonephritis in a Patient with Systemic Lupus Erythematosus | 박은정, 김진석, 김소미, 김현우 | pp.34-38 | ||
| Knee Synovitis Mimicking a Septic Arthritis | 박정은, 김현식, 성재호, 하성삼, 남승완, 이향선, Jae-Seok Kim, Jae-Won Yang, Taeyoung Kang | pp.39-44 | ||
| Psoriatic Onycho-pachydermo-periostitis of the Fingertips : A Report of Two Cases | 박명일, 김보연, 박인, 권기태, 신동주, 김건우, Sung Ho Kim, Seung Woo Han | pp.45-50 | ||
| 재발다발연골염에 동반된 강직척추염 1예 | 이남희, 박승운, 박인성, 박치환, 이충원 | pp.56-60 | ||
| A Case of Essential Thrombocythemia in a Patient with Ankylosing Spondylitis Concomitantly Treated with Adalimumab | 이대성, 이승근, 신호진, 이선희, 박은경, 나해정, Chul-Hong Park, Ji-Heh Park, In-Sub Han, Geun-Tae Kim | pp.51-55 | ||
| 손가락굽힘근 힘줄의 통풍결절 침착에 의해 발생한 손목터널증후군 | 권세웅, 김지혜, 강원찬, 김수정, 김호연, 김해림, 이상헌 | pp.29-33 |
참고문헌 (11건) : 자료제공( 네이버학술정보 )
| 번호 | 참고문헌 | 국회도서관 소장유무 |
|---|---|---|
| 1 | Tophaceous gout of the middle ear.  |
미소장 |
| 2 | Tophaceous gout and pseudogout of the middle ear and the infratemporal fossa: case report and review of the literature. |
미소장 |
| 3 | Gout and its manifestations in the head and neck. |
미소장 |
| 4 | The Broad Spectrum of Urate Crystal Deposition: Unusual Presentations of Gouty Tophi |
미소장 |
| 5 | Sex differences in uric acid metabolism in adults: Evidence for a lack of influence of estradiol-17β (E 2) on the renal handling of urate |
미소장 |
| 6 | Female Gout |
미소장 |
| 7 | Serum uric acid in acute gout. |
미소장 |
| 8 | Clinical analysis of gouty patients with normouricaemia at diagnosis. |
미소장 |
| 9 | Serum urate during acute gout. |
미소장 |
| 10 | Firestein GS BR, Gabriel SE, McInnes IB, O’Dell JR. Kelley’s textbook of rheumatology. 9th ed. p. 1556, Philadelphia, Elsevier Saunders, 2013. | 미소장 |
| 11 | Effect of urate‐lowering therapy on the velocity of size reduction of tophi in chronic gout |
미소장 |
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