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-
1
Purushothaman R, Karuppal R, Inassi J, et al: Hallux saltans due to flexor hallucis longus entrapment at a previously unreported site in an unskilled manual laborer: a case report. J Foot Ankle Surg 51: 334, 2012.
-
2
Schumacher HR Jr. The pathogenesis of gout. Cleve Clin J Med 75(suppl 5): S2, 2008.
-
3
Dalbeth N, Kalluru R, Aati O, et al: Tendon involvement in the feet of patients with gout: a dual-energy CT study. Ann Rheum Dis 72: 1545, 2013.
-
4
Raff AB, Kroshinsky D: Cellulitis: a review. JAMA 316: 325, 2016.
-
5
Kaandorp CJ, Krijnen P, Moens HJ, et al: The outcome of bacterial arthritis: a prospective community-based study. Arthritis Rheum 40: 884, 1997.
-
6
Chen LX, Schumacher HR: Current trends in crystal identification. Curr Opin Rheumatol 18: 171, 2006.
Gout in the Flexor Hallucis Longus Tendon Mimicking Cellulitis: A Case Report
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A 65-year-old Japanese man was admitted to our hospital with fever and inflammation of the right ankle. We initiated antibiotics on suspicion of cellulitis. After no clinical improvement, we performed magnetic resonance imaging, which showed a fluid collection in the flexor hallucis longus (FHL) tendon sheath. Synovial fluid analysis revealed monosodium uric crystals. Final diagnosis was FHL tendonitis secondary to gout proven by synovial fluid analysis. To our knowledge, this is the first case report of FHL tendonitis caused by gout. When ankle inflammation is examined in clinical situations, FHL tendonitis caused by gout should be considered.
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