An unusual case of localised tophaceous gout in the left index finger

被引：0

作者：

Krenn, V. ^{[1
]}

机构：

[1] Zentrum Histol Zytol & Mol Diagnost, D-54296 Trier, Germany

来源：

ZEITSCHRIFT FUR RHEUMATOLOGIE | 2009年 / 68卷 / 01期

关键词：

Touton giant cells; Urate crystal; Caseating granuloma; Atypical mycobacterial infection;

D O I：

10.1007/s00393-008-0383-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The present article describes the biopsy-based (proximal interphalangeal joint II, HE staining) diagnosis of tophaceous gout. Eosinophilic/basophilic deposit surrounded by fibrohistiocytic cells and some giant cells of foreign type could be detected on light microscopy. No birefringent material could be observed. Differential diagnosis included caseating granulomatous infectious diseases, which are typically characterized by zonally organised granulomas with central necrosis, epitheloid cell reaction, as well as Touton-type giant cells.

引用

页码：81 / 82

页数：2