Author/Authors :
SANTOS, Vitorino Modesto dos Catholic University (UCB) - Armed Forces Hospital (HFA) - Internal Medicine, Brazil , MARINHO, Christiane S. Armed Forces Hospital - Internal Medicine, Turkey , VIEIRA, Thiago A. Armed Forces Hospital - Internal Medicine, Turkey , SALES, Jr José H. Armed Forces Hospital - Internal Medicine, Turkey , SOUZA, Diogo W.S. Armed Forces Hospital - Internal Medicine, Brazil
Abstract :
A 53-year-old Brazilian man came to our hospital because of intense oliguria beginning three days before admission. He was a chronic alcohol abuser, with previous diagnosis of type 2 diabetes, dyslipidemia, arterial hypertension, and deforming arthropathy. For one week, he had taken high dosages of indomethacin for bilateral arthralgia on the ankles, wrists, and metacarpophalangeal, metatarsophalangeal and interphalangeal joints. On admission, his BMI was 22.8 Kg/m², and he presented with signs of bilateral acute arthritis in association with numerous asymmetric hard nodules on the periarticular soft tissues. Except for scars on the elbows and right knee, no change was found by examination of cutaneous or mucous surfaces, and nails. There were conspicuous deforming osteoarticular and subcutaneous changes.
