Diagnosis of myocarditis

✍ Scribed by Thomas W. Bunch; Robert G. Tancred

• Publisher: John Wiley and Sons
• Year: 1982
• Tongue: English
• Weight: 109 KB
• Volume: 25
• Category: Article
• ISSN: 0004-3591
• DOI: 10.1002/art.1780250423

✦ Synopsis

473

minute. Results of complete blood cell count and urinalysis were within normal limits.

Gutman reported that about half of the patients with untreated primary gout would develop tophi 10 years after the initial attack of acute arthritis (2). Presence of tophi has been shown to be related to the degree of hyperuricernia, the duration of gout, the age of the patient, and the presence of renal disease (2,3). The effect of trauma has been implicated in the pathophysiology of tophi, particularly at the sites of olecranon and prepatellar bursae where articular or bony involvement may be absent ( I ) .

A description of our patient's tophaceous deposits should be added to a list that includes soft tissue deposition in such extraordinary places as eyes, eyelids, larynx, heart valves, bronchi, pleura, pericardium, meninges, corpus cavernosurn, intestine, tongue, nasal septum, buttocks, and various subcutaneous sites (I).