Tophaceous gout of the pubic symphysis: an unusual cause of groin pain
Tophaceous gout of the pubic symphysis: an unusual cause of groin pain
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DOI：
10.1136/ard.2003.017988
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发表时间：
2004-07-01
影响因子：
27.4
通讯作者：
McQueen, F
中科院分区：
文献类型：
--
作者：
Gardner, H;McQueen, F
此病例是一种非常罕见的痛风表现，耻骨联合痛风石样改变，类似感染或手术引起的腹股沟疼痛。鉴别诊断范围很广，包括深部组织感染、浆细胞瘤、淋巴管肉瘤合并慢性淋巴水肿和耻骨联合退行性改变引起的耻骨疼痛。我们的病人经历的严重腹股沟疼痛很可能是由于内收肌周围软组织的炎症和耻骨联合的相关痛风性关节炎。
DISCUSSIONThis case represents a very unusual presentation of gout, with tophaceous involvement of the symphysis pubis mimicking infection or a surgical cause for groin pain. The differential diagnosis was wide and included deep tissue infection, plasmacytoma, lymphangiosarcoma complicating chronic lymphoedema, and degenerative change at the symphysis pubis as a cause for pubic pain. It is likely that the severe groin pain experienced by our patient was due to inflammation of soft tissues surrounding the adductor muscles and associated gouty arthritis of the symphysis pubis.