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Chronic, Long-Lasting, and Untreated Gout with Concomitant Dilated Cardiomyopathy and Exceptionally Vast Anasarca: Case Report

Petra Šulentić
Branko Bečejac
Ozren Vinter
Milan Vrkljan

Puni tekst: engleski, pdf (120 KB) str. 427-429 preuzimanja: 426* citiraj
APA 6th Edition
Šulentić, P., Bečejac, B., Vinter, O. i Vrkljan, M. (2011). Chronic, Long-Lasting, and Untreated Gout with Concomitant Dilated Cardiomyopathy and Exceptionally Vast Anasarca: Case Report. Acta clinica Croatica, 50 (3), 427-429. Preuzeto s https://hrcak.srce.hr/84204
MLA 8th Edition
Šulentić, Petra, et al. "Chronic, Long-Lasting, and Untreated Gout with Concomitant Dilated Cardiomyopathy and Exceptionally Vast Anasarca: Case Report." Acta clinica Croatica, vol. 50, br. 3, 2011, str. 427-429. https://hrcak.srce.hr/84204. Citirano 13.12.2019.
Chicago 17th Edition
Šulentić, Petra, Branko Bečejac, Ozren Vinter i Milan Vrkljan. "Chronic, Long-Lasting, and Untreated Gout with Concomitant Dilated Cardiomyopathy and Exceptionally Vast Anasarca: Case Report." Acta clinica Croatica 50, br. 3 (2011): 427-429. https://hrcak.srce.hr/84204
Harvard
Šulentić, P., et al. (2011). 'Chronic, Long-Lasting, and Untreated Gout with Concomitant Dilated Cardiomyopathy and Exceptionally Vast Anasarca: Case Report', Acta clinica Croatica, 50(3), str. 427-429. Preuzeto s: https://hrcak.srce.hr/84204 (Datum pristupa: 13.12.2019.)
Vancouver
Šulentić P, Bečejac B, Vinter O, Vrkljan M. Chronic, Long-Lasting, and Untreated Gout with Concomitant Dilated Cardiomyopathy and Exceptionally Vast Anasarca: Case Report. Acta clinica Croatica [Internet]. 2011 [pristupljeno 13.12.2019.];50(3):427-429. Dostupno na: https://hrcak.srce.hr/84204
IEEE
P. Šulentić, B. Bečejac, O. Vinter i M. Vrkljan, "Chronic, Long-Lasting, and Untreated Gout with Concomitant Dilated Cardiomyopathy and Exceptionally Vast Anasarca: Case Report", Acta clinica Croatica, vol.50, br. 3, str. 427-429, 2011. [Online]. Dostupno na: https://hrcak.srce.hr/84204. [Citirano: 13.12.2019.]

Sažetak
Gout is the most common type of inflammatory arthritis in man caused by deposition of urate crystals into the joints as the result of elevated serum urate levels. A case of a 59-year-old patient with untreated, long-lasting gout and clinical manifestation of decompensated global dilated cardiomyopathy is presented. Examination revealed generalized pitting edema extending from both lower extremities to the sacrum, abdominal, and thoracic wall, with scrotal swelling and upper extremity involvement, an exceptionally vast generalized edema, i.e. anasarca. Proximal and distal interphalangeal joints of the hands and feet were swollen and deformed, with marked yellow tophi nodules. Laboratory studies revealed high serum uric acid concentration (546 μmol/L), decreased creatinine clearance (0.8 mL/s) and albumin concentration (27.4 g/L), as well as increased total urine protein mass (0.35 g/24 h). X-rays of the affected feet and fists showed punched-out lesions of the subchondral bone with overhanging bony margins in the first metatarsophalangeal, proximal, and distal interphalangeal joints of both hands. The extreme clinical presentation resolved upon intravenous administration of diuretics and pleurocentesis, followed by oral medications including furosemide, angiotensin-converting enzyme inhibitor, spironolactone and digoxin. Since serum urate level has been identified as an independent risk factor for the development of ischemic heart and chronic kidney disease, regulation of urate concentration is necessary, especially in patients diagnosed with gout.

Ključne riječi
Gout; Arthritis, gouty; Cardiomyopathy, dilated

Hrčak ID: 84204

URI
https://hrcak.srce.hr/84204

[hrvatski]

Posjeta: 928 *