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Intraarticular noninflammatory free urate suspension (urate milk) in 3 patients with painful joints.
J Rheumatol. 1990 May; 17(5):712-4.JR

Abstract

We describe 3 patients with painful intraarticular knee effusions composed of a viscous milky white suspension of monosodium urate crystals, in the absence of any cellular component. Two patients presented with acute bilateral knee pain. One patient presented with unilateral knee pain of gradual onset. All 3 patients had a history of ethanol abuse. Two patients had a history of gout. Two patients had chronic renal insufficiency, hypertension, and congestive heart failure. One patient had alcoholic cirrhosis. Two patients' pain responded to colchicine. One patient's discomfort was relieved only by repeated arthrocentesis. We conclude that intraarticular free urate can cause painful joints in the absence of an apparent inflammatory response.

Authors+Show Affiliations

Horowitz MD
Department of Medicine, Mount Sinai School of Medicine, City University of New York, New York.
Abbey L
No affiliation info available
Sirota DK
No affiliation info available
Spiera H
No affiliation info available

MeSH

AgedAlcoholismCrystallizationExudates and TransudatesFemaleGoutHumansKnee JointNeutrophilsPainPseudomonas InfectionsSuspensionsUric Acid

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

2359087

Citation

Horowitz, M D., et al. "Intraarticular Noninflammatory Free Urate Suspension (urate Milk) in 3 Patients With Painful Joints." The Journal of Rheumatology, vol. 17, no. 5, 1990, pp. 712-4.
Horowitz MD, Abbey L, Sirota DK, et al. Intraarticular noninflammatory free urate suspension (urate milk) in 3 patients with painful joints. J Rheumatol. 1990;17(5):712-4.
Horowitz, M. D., Abbey, L., Sirota, D. K., & Spiera, H. (1990). Intraarticular noninflammatory free urate suspension (urate milk) in 3 patients with painful joints. The Journal of Rheumatology, 17(5), 712-4.
Horowitz MD, et al. Intraarticular Noninflammatory Free Urate Suspension (urate Milk) in 3 Patients With Painful Joints. J Rheumatol. 1990;17(5):712-4. PubMed PMID: 2359087.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intraarticular noninflammatory free urate suspension (urate milk) in 3 patients with painful joints. AU - Horowitz,M D, AU - Abbey,L, AU - Sirota,D K, AU - Spiera,H, PY - 1990/5/1/pubmed PY - 1990/5/1/medline PY - 1990/5/1/entrez SP - 712 EP - 4 JF - The Journal of rheumatology JO - J Rheumatol VL - 17 IS - 5 N2 - We describe 3 patients with painful intraarticular knee effusions composed of a viscous milky white suspension of monosodium urate crystals, in the absence of any cellular component. Two patients presented with acute bilateral knee pain. One patient presented with unilateral knee pain of gradual onset. All 3 patients had a history of ethanol abuse. Two patients had a history of gout. Two patients had chronic renal insufficiency, hypertension, and congestive heart failure. One patient had alcoholic cirrhosis. Two patients' pain responded to colchicine. One patient's discomfort was relieved only by repeated arthrocentesis. We conclude that intraarticular free urate can cause painful joints in the absence of an apparent inflammatory response. SN - 0315-162X UR - https://www.unboundmedicine.com/medline/citation/2359087/Intraarticular_noninflammatory_free_urate_suspension__urate_milk__in_3_patients_with_painful_joints_ DB - PRIME DP - Unbound Medicine ER -