Chyle and gout causing acute monoarthritis: Some unusual findings

Venkata Ranga Rao Kodali, Nigel Andrew Dunn

Research output: Contribution to journalArticlepeer-review


A 67-year-old man presented with acute monoarthritis of the right knee. Aspiration was carried out under aseptic precautions. This yielded a milky appearing fluid. Polarized microscopic examination confirmed uric acid crystals. The patient had a history of trauma to the joint. Acute monoarthritis of the knee can occur due to gout. Chylous effusions in the knee are rare. This combination of findings in the same joint has not been described in the literature. We emphasise the importance of history of trauma in acute monoarthritis. We discuss the unusual features of this case.

Original languageEnglish
Pages (from-to)70-71
Number of pages2
JournalClinical Rheumatology
Issue number1
Publication statusPublished - Feb 2005
Externally publishedYes


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