Arthritis and rheumatism 2007-Nov

Misdiagnosis of a chylous cyst as chest wall gouty tophus: a case of true pseudogout.

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Leena G Adhikesavan

William T Ayoub

H Ralph Schumacher

ARTICLE: 17968910

DOI: 10.1002/art.22957

BioSeek: 17968910

Keywords

Abstract

A patient referred to us for recurrent chest wall gouty tophus, but who was determined to actually have a chylous cyst, is described herein. Chylous cysts of the neck or chest wall can be caused by thoracic duct injury. Chyle contains 4-40 gm/liter of lipids, mostly triglycerides, and these can form birefringent crystals upon drying, leading to a false diagnosis of gout.

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Misdiagnosis of a chylous cyst as chest wall gouty tophus: a case of true pseudogout.

Keywords

triglyceride

cysts

chondrocalcinosis

gout

Abstract

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