• 대한영상의학회지
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• 제83권5호
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• pp.1071-1080
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• 2022

목적 급성 통풍성 관절염과 패혈성 관절염의 자기공명영상 소견 차이를 알아본다. 대상과 방법 2012년 10월부터 2018년 10월까지 패혈성 혹은 통풍성 관절염으로 확진된 자기공명영상을 촬영한 환자를 대상으로 연구하였다. 패혈성 관절염과 급성 통풍성 관절염의 자기공명영상 소견으로 골수부종, 연부조직 부종, 농양 형성 여부, 활액막 비후 양상(엽상체, 층판, 미만성 선형 모양), 활액막 최대 두께와 관절액 양을 평가하였다. 통풍성 관절염(5명)과 패혈성 관절염(10명)을 윌콕슨 순위합 검정과 피셔 정확 검정으로 비교하였다. 결과 자기공명영상으로 평가된 각 소견은 두 군 사이에 유의한 통계학적 차이는 보이지 않았다. 골수부종은 통풍성 관절염군에서 1건, 패혈성 관절염군에서 7건 관찰되었다. 연부조직 농양은 패혈성 관절염군에서만 관찰되었다. 활액막 비후양상은 통풍성 관절염군은 모두 미만성 선형 모양(100%), 패혈성 관절염군은 엽상체 모양(20%), 층판 모양(50%), 미만성 선형 모양(30%)으로 나타났다. 결론 통풍성 관절염과 패혈성 관절염은 자기공명영상 소견만으로 감별은 어려울 것으로 생각된다. 그러나 층판 모양 활액막 비후나 골수부종, 연부조직 농양의 경우 패혈성 관절염에서 더 흔히 보였다.

• Journal of Acupuncture Research
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• 제23권2호
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• pp.197-205
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• 2006

Objectives : To examine the effects of the collaborative Oriental and Western medicine, we treated a gouty arthritis patient with acute inflammation and liver injury with a combination of Oriental and Western treatments. Methods : Acupuncture, Bangphungtongsung-San(Fangfengtongsheng-san)', 'Kangwhaljetong-Um(Qianghuochutong-yin)', and 'Sosiho-Tang(Xiaochaihu-tang) were offered to an acute gouty arthritis patient with NSAIDs, Corticosteroids and allopurinol. Laboratory data were observed for the duration of hospital days. Results : In spite of Oriental treatments, NSAIDs administration caused liver injury, but continuous Oriental treatments with small amount of Corticosteroids and allopurinol brought recovery of liver function and gouty arthritis. Confusion : Collaborative treatments of Oriental and Western medicine are better than independent Western treatment for gouty arthritis with acute inflammation and liver injury. Further studies will be required to ascertain the collaborative treatment with Oriental and Western medicine for gouty arthritis and other diseases.

• 대한관절경학회지
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• 제3권2호
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• pp.155-158
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• 1999

보존적인 치료에 반응하지 않는 급성 염증이 동반된 만성 통풍성 관절염의 치료에 있어 최근 관절경을 통한 시술이 효과적인 것으로 보고되고 있으며 그 시술시 내외적인 여러 요인에 의한 급성 증세발현의 원인인자인 것으로 알려져 있는 통풍결절을 제거한 후 1년의 추시 관찰 결과 증상의 재현이 없어 증례와 함께 보고하는 바이다.

• Advances in Traditional Medicine
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• 제9권2호
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• pp.164-173
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• 2009

The anti-inflammatory effect of Spirulina fusiformis on monosodium urate crystal-induced inflammation in mice has been investigated and compared with the non-steroidal anti-inflammatory drug Indomethacin. The paw volume, lysosomal enzyme activities, lipid peroxidation, anti-oxidant status and inflammatory mediator tumour necrosis factor-$\alpha$ were studied in control and monosodium urate crystal-induced mice after oral administration of Spirulina platensis in an experimental model for gouty arthritis. In the induced mice, the levels of lysosomal enzymes, inflammatory mediator tumour necrosis factor-$\alpha$, lipid peroxidation and the paw volume increased significantly, whereas the antioxidant status decreased when compared to control mice. $\beta$-glucuronidase and lactate dehydrogenase level were also found to be increased in untreated monosodium urate crystal-incubated polymorphonuclear leucocytes. After the oral administration of Spirulina fusiformis, the physical and biochemical changes observed in monosodium urate crystal-induced animals were significantly restored to near normal levels. The results clearly indicated the anti-inflammatory role of Spirulina fusiformis, a promising drug for gouty arthritis.

• Annals of Clinical Neurophysiology
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• 제11권2호
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• pp.67-70
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• 2009

Colchicine is widely used in the treatment of gouty arthritis, and chronic use of colchicine can cause vacuolar myopathy. We report colchicine-induced myopathy with electrophysiological myotonia in a patient with gouty arthritis. A 86-year-old man with gouty arthritis presented with progressive proximal weakness and gait disturbance. Electrophysiological finding showed myotonic myopathy and muscle biopsy revealed a vacuolar myopathy. His symptoms soon resolved with the discontinuation of colchicine.

• 대한족부족관절학회지
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• 제16권4호
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• pp.280-285
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• 2012

Osteochondroma, which is an osteocartilaginous exostosis, is essentially the most common primary bone tumor. These benign neoplasms are generally asymptomatic and have a relatively small potential for adverse effects. Calcaneal osteochondroma is rare, furthermore osteochondroma accompanying with gouty arthritis is very rare. Also, the subtalar joint is not a classic site of acute gout. In this report, we report the case of a patient who experienced an unusual calcaneal osteochondroma with undiagnosed gouty arthritis of the subtalar joint.

• Journal of Trauma and Injury
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• 제31권3호
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• pp.189-193
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• 2018

Gouty arthritis is a common crystal arthropathy, but gout tophus in the bipartite patella is a rare condition. This report presented a traumatic separation of bipartite patellar fragment caused by mild trauma in a patient with comorbid gout. When a patient with bipartite patella and underlying gouty arthritis complains of pain after trauma, clinical suspicion is needed about fragment separation of the bipartite patella.

• 한방재활의학과학회지
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• 제33권1호
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• pp.31-45
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• 2023

Objectives The aim of this study is to find the future perspective through analyzing the trends of acupuncture treatment for gouty arthritis (GA) by searching the China National Knowledge Infrastructure (CNKI) and PubMed. Methods We searched clinical studies about acupuncture treatment for GA through the searching the electronic database of CNKI and PubMed. We analyzed the characteristics of selected studies according to research design, sample size, publication year, treatment methods, evaluation criteria and adverse events. Results Twenty-nine studies published from January 1, 2015 to July 1, 2022 were selected. They consisted of 25 randomized controlled trials, 3 non-randomized controlled trials, and 1 case reports. In these studies, several types of acupuncture treatments were performed and the most treatment was conventional acupuncture treatment with fine needles. The most commonly used evaluation outcome was effective rate. Conclusions Through this result, the Chinese literature positively reported the effect of acupuncture on GA. However, high-quality evaluation by rigorous research using well-designed and more objective outcomes is required.

• Annals of Clinical Neurophysiology
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• 제10권2호
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• pp.112-115
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• 2008

Colchicine is a drug used for the treatment of acute gouty arthritis or various autoimmune diseases. Gastrointestinal adverse effects such as abdominal pain and vomiting are the common side effects of the drug, but rarely myopathy has been reported to occur particularly in renal recipients who were treated concomitantly with immunosuppressants. Herein, we report a case who presented with acute myopathy after treated with colchicine for acute gouty arthritis.

• 대한족부족관절학회지
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• 제22권3호
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• pp.116-119
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• 2018

Gout occurs mainly in monoarthritis and is found in more than 50% of cases in hallux of the foot. In addition, symptoms sometimes begin in the hand, wrist, and elbow, but they are rarely observed in the spine. The patient was referred for tuberculous polyarthritis due to antituberculosis drug failure. Inflammatory findings were observed in the lumbar, elbow, wrist, hand and foot areas. Surgery was performed on the foot area and a pathology diagnosis revealed gouty arthritis. We report this case with a review of the relevant literature.