An Acute Attack of Pseudogout Treated with Bofutsushosan and Orengedokuto —A Case Report

Yuzo Fukushima; Ryosuke Fujita; Rikitoshi Ueno; Kazuhiko Yamashita; Yasuo Utsumi; Tomomi Shimizu; Asami Ohmori; Tokuo Sugihara

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An Acute Attack of Pseudogout Treated with Bofutsushosan and Orengedokuto —A Case Report

VernacularTitle:偽痛風の急性発作に対して防風通聖散と黄連解毒湯の併用が有効であった1症例
Author: Yuzo FUKUSHIMA ¹ ; Ryosuke FUJITA ² ; Rikitoshi UENO ³ ; Kazuhiko YAMASHITA ⁴ ; Yasuo UTSUMI ⁵ ; Tomomi SHIMIZU ⁶ ; Asami OHMORI ⁷ ; Tokuo SUGIHARA ⁸
Author Information

1. Fukushima Orthopedic Clinic
2. Department of General Medicine, Tottori Municipal Hospital
3. Ueno Clinic
4. Sanjo Yamashita Internal Medical Clinic
5. Utsumi Clinic of Dermatology
6. Shimizu Internal Medical Clinic
7. Iwami Clinic
8. Sugihara Clinic
Keywords: pseudogout; acute attack; bofutsushosan; orengedokuto
From:Kampo Medicine 2019;70(3):278-282
CountryJapan
Language:Japanese
Abstract: Pseudogout is a crystal-induced arthritis that often occurs in senile individuals. We report a case of an acute attack of pseudogout that was successfully treated with bofutsushosan and orengedokuto. The patient was an 87-year-old man who visited our clinic and complained of left wrist joint pain 2 days after onset. His physical examination revealed tenderness in his left wrist joint. Plain roentgenogram revealed slight calcification of the left wrist joint, and an inflammatory reaction was found on blood examination. Thus, he was diagnosed with an acute attack of pseudogout in his wrist joint. We prescribed bofutsushosan and orengedokuto. After internal use, his left wrist joint symptoms gradually improved. At the follow-up visit 3 days after his first visit, his left wrist joint pain was resolved completely, and after 9 days, his laboratory data were normalized. Thus, bofutsushosan and orengedokuto were effective in the treatment of an acute attack of pseudogout.