Costochondral gout
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TL;DR: In this article , a 37-year-old Caucasian woman with abdominal distension and loss of weight was initially presumed to be a case of ovarian malignancy due to an elevated serum cancer antigen 125 level and imaging of abdomen and pelvis that showed ascites and bulky ovaries.
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Abstract: We present a case of a 37-year-old Caucasian woman with abdominal distension and loss of weight. She was initially presumed to be a case of ovarian malignancy due to an elevated serum cancer antigen 125 (CA 125) level and imaging of abdomen and pelvis that showed ascites and bulky ovaries. However, histological examination of biopsy later revealed it to be a case of abdominal tuberculosis (AbT). Ascitic fluid was also found to be positive for <i>Mycobacterium tuberculosis</i> by whole genome sequencing. The patient was started on antituberculosis treatment following which she showed a significant improvement in her symptoms.
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Citations
Involvement of anterior chest structures accompanied with chest pain in patients with gout
Gang Wang,Ying Luo,Bihui Li,Zhenhua Wen,Jie Li +4 more
TL;DR: Gout is a rheumatic disease caused by the deposition of monosodium urate crystals as mentioned in this paper , which is more likely to be deposited in areas with relatively low temperatures and pH, so gout nodules are mostly found in the olecranon bursa, peroneal tendon, Achilles tendon, the helix of the ear, peripheral joints, especially the first metatarsophalangeal joint, and some rare sites of gout such as the spine, nose, eyes, and heart have also been reported.
References
The diagnostic performance of dual energy CT for diagnosing gout: a systematic literature review and meta-analysis.
TL;DR: DECT has a high diagnostic accuracy in established gout, but its diagnostic sensitivity is low in subjects with recent onset gout.
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•Journal Article
Musculoskeletal chest wall pain.
TL;DR: The causes, assessment and differential diagnosis of musculoskeletal chest wall pain, and the management of its most common causes are described.
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Role of dual-energy CT in the diagnosis and follow-up of gout: systematic analysis of the literature.
André Ramon,Amélie Bohm-Sigrand,Pierre Pottecher,Pascal Richette,Jean-Francis Maillefert,Hervé Devilliers,Paul Ornetti +6 more
TL;DR: Dual-energy CT-scan is a reproducible and accurate imaging modality for the diagnosis of gout, particularly for tophaceous gout (intra- or extra-articular).