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Radiology, Vol 147, 389-392, Copyright © 1983 by Radiological Society of North America

ARTICLES

Intra-articular milk of calcium in saturnine gout

WW Daniel and SJ Wees

Radiographs of two patients with saturnine gout (lead gout) demonstrated radio-opaque material which resembled milk of calcium within several joints. A histochemical examination of knee aspirate of one of the patients revealed a combination of monosodium urate and calcium pyrophosphate dihydrate. Subsequently, the authors suspected that the findings of intra-articular milk of calcium were due to the coexistence of saturnine gout and calcium pyrophosphate dihydrate deposition disease rather than intra-articular calcified tophus.




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