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Figure 1. A 70-year-old man presented with a history of rheumatoid arthritis, insulin-dependent diabetes mellitus, chronic renal insufficiency, and hypertension. He had had rheumatoid arthritis for 17 years, was seropositive for rheumatoid factor, and had destructive arthritis documented by plain radiographs of the hands. His olecranon bursa was chronically swollen but had never been injected with a corticosteroid preparation.
The aspirate of an effusion from the olecranon bursa reveals cholesterol crystals (x400). These crystals are characterized by broad plates with a notched corner, created by their propensity to adhere to one another's surfaces. They are variably and . . . [Full Text of this Article] |