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A Case of Secondary Gout Associated with Essential Thrombocythemia
Author(s) -
Young Min Kim,
Sora Lee,
Ji Eun Lee,
Do Hyoung Lim,
Il Kim,
Keon Woo Park,
Soon Il Lee
Publication year - 2012
Publication title -
journal of rheumatic diseases
Language(s) - English
Resource type - Journals
eISSN - 2093-940X
pISSN - 2233-4718
DOI - 10.4078/jrd.2012.19.1.47
Subject(s) - gout , essential thrombocythemia , hyperuricemia , medicine , thrombocytosis , uric acid , myeloproliferative disorders , arthritis , gastroenterology , polycythemia vera , platelet
Gouty arthritis is a metabolic disorder characterized by hyperuricemia, deposition of monosodium urate crystal in the joints, and recurrent episodes of acute inflammatory arthritis. Depending on the actual causes of hyperuricemia, gout is classified as primary or secondary gout. In myeloproliferative neoplasms, a turnover of nucleic acids is greatly augmented and therefore the blood concentration of uric acid may be markedly increased. But an acute attack of gout is extremely rare in patients with myeloproliferative neoplasms. Essential thrombocythemia, one of the myeloproliferative neoplasms, is characterized by megakaryocytic hyperplasia in bone marrow and marked thrombocytosis. We report a case of secondary gout in a 66-year-old man with essential thrombocythemia.

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