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Difference between revisions of "Gout"
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| Caption = Gouty tophus. [[H&E stain]]. | | Caption = Gouty tophus. [[H&E stain]]. | ||
| Synonyms = | | Synonyms = | ||
| Micro = urate crystals - see ''[[crystals in body fluids]]'' | | Micro = urate crystals - considered gold standard (see ''[[crystals in body fluids]]'') '''not''' seen on formalin fixed sections, tophi (granulomatous inflammation - surrounds fluffy (cotton candy-like) material), fibrotic synovium | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = | | LMDDx = | ||
| Line 30: | Line 30: | ||
| Tx = medications (NSAIDs for pain, allopurinol, colchicine) | | Tx = medications (NSAIDs for pain, allopurinol, colchicine) | ||
}} | }} | ||
'''Gout''' is a common benign affliction that can be disabling. It occasionally is seen by pathologists | '''Gout''' is a common benign affliction that can be disabling. It occasionally is seen by pathologists. It can be grouped in conditions with [[crystals in body fluids]]. | ||
==General== | ==General== | ||
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Image:Gouty_tophus_-_low_mag.jpg | Gouty tophus - low mag. (WC) | Image:Gouty_tophus_-_low_mag.jpg | Gouty tophus - low mag. (WC) | ||
Image:Gouty_tophus_-_high_mag.jpg | Gouty tophus - high mag. (WC) | Image:Gouty_tophus_-_high_mag.jpg | Gouty tophus - high mag. (WC) | ||
Gout - monosodium urate crystals (20X, polarized, red compensator).jpg | Urate crystals under [[polarized light]]. (WC/Gabriel Caponetti) | |||
</gallery> | </gallery> | ||
www | ====www==== | ||
*[http://www.archivesofpathology.org/na101/home/literatum/publisher/pinnacle/journals/content/arpa/2002/15432165-126.5/0003-9985%282002%29126%3C0621%3Apqcast%3E2.0.co%3B2/production/images/large/i1543-2165-126-5-621-f01.jpeg Gouty tophus - A. xray, B. Diff-Quick, C. Pap smear, D. polarized light, E. H&E (archivesofpathology.org)]. | *[http://www.archivesofpathology.org/na101/home/literatum/publisher/pinnacle/journals/content/arpa/2002/15432165-126.5/0003-9985%282002%29126%3C0621%3Apqcast%3E2.0.co%3B2/production/images/large/i1543-2165-126-5-621-f01.jpeg Gouty tophus - A. xray, B. Diff-Quick, C. Pap smear, D. polarized light, E. H&E (archivesofpathology.org)]. | ||
*[http://path.upmc.edu/cases/case205.html Gout - several images (upmc.edu)]. | *[http://path.upmc.edu/cases/case205.html Gout - several images (upmc.edu)]. | ||
==Sign out== | |||
<pre> | |||
Submitted as "Left Olecranon Bursa", Excision: | |||
- Consistent with gouty tophus; amorphous material with granulomatous reaction. | |||
</pre> | |||
==See also== | ==See also== | ||