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Classic Gout in Hageman Factor (Factor XII) Deficiency
David Green, MD, PhD;
Christiane L. Arsever, MD;
Kenneth A. Grumet, MD;
Oscar D. Ratnoff, MD
Arch Intern Med. 1982;142(8):1556-1557.
Abstract
A 62-year-old man with a typical history of gout was admitted to the hospital with left-sided hemiplegia. His serum uric acid level was 10.3 mg/dL, his partial thromboplastin time was 198 s, and his Hageman factor (factor XII) coagulant activity and antigen were less than 1% of normal. Aspiration of synovial fluid from his inflamed knee disclosed urate crystals and abundant leukocytes but an absence of Hageman factor antigen. The presence of acute gouty arthritis in a patient with Hageman trait challenges the role of Hageman factor in the pathogenesis of gouty arthropathy.
(Arch Intern Med 1982;142:1556-1557)
Author Affiliations
From the Atherosclerosis Program, Rehabilitation Institute of Chicago (Dr Green); the Departments of Medicine, Veterans Administration Lakeside Hospital and Northwestern University Medical School, Chicago (Drs Green, Arsever, and Grumet); and Case Western Reserve University School of Medicine, Cleveland (Dr Ratnoff).
Footnotes
Accepted for publication April 29, 1982.
Reprint requests to Atherosclerosis Program, Northwestern University, Rehabilitation Institute of Chicago, 345 E Superior St, Room 1407, Chicago, IL 60611 (Dr Green).
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ABSTRACT
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