Acute monoarthritis associated with positively birefringent maltese cross appearing lipid spherules in a hyperlipidemic diabetic patient | Zendy

Yong Beom Park | Zendy; Soo Kon Lee | Zendy; Chang Ho Song | Zendy; Won Ki Lee | Zendy; Chan Hee Lee | Zendy; Jisoo Lee | Zendy

Open Access

Acute monoarthritis associated with positively birefringent maltese cross appearing lipid spherules in a hyperlipidemic diabetic patient

Author(s) -

Yong Beom Park,

Soo Kon Lee,

Chang Ho Song,

Won Ki Lee,

Chan Hee Lee,

Jisoo Lee

Publication year - 1997

Publication title -

yonsei medical journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.702

H-Index - 63

eISSN - 1976-2437

pISSN - 0513-5796

DOI - 10.3349/ymj.1997.38.4.236

Subject(s) - monoarthritis , medicine , birefringence , arthritis , synovial fluid , pathology , osteoarthritis , physics , quantum mechanics , alternative medicine

A 63-year old man developed acute monoarthritis in the dorsum of the left foot. Polarized light microscopy of the synovial fluid from his third metatarsophalangeal joint revealed numerous positively birefringent lipid spherules with a maltese cross appearance. Positively birefringent lipid spherules can be found in association with acute, otherwise unexplained arthritis, and may induce synovial inflammation similar to that seen in other types of crystal-induced arthritis. We report a case of acute monoarthritis in which large numbers of positively birefringent lipid spherules were present in a hyperlipidemic diabetic patient.

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