Secondary Gout Associated with Agnogenic Myeloid Metaplasia : A case report and Review literatures

บทคัดย่อ

Cases of agnogenic myeloid metaplasia may present with clinical symptoms of secondary gout resembling primary gout except in some aspects such as mean age of onset , sex ratio , family history , serum uric acid level , appearance of tophi and incidence of associated uric acid stone. This is a case report of female patient , whom diagnosed as agnogenic myeloid metaplasia, presented with the first attack of gouty arthritis together with appearance of tophus. The laboratory investigations and treatment will be presented in detail.