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Uric acid crystals in the semen
of a patient with symptoms of chronic prostatitis.
|
OBJECTIVE:
To report the finding of red and brownish precipitates with morphology and
chemistry compatible with uric acid crystals in semen in a patient with
symptoms of chronic prostatitis. DESIGN: Case report.
SETTING:
Academic clinical biochemistry and immunology laboratory.
PATIENT(S):
A 35-year-old man with clinical symptoms of prostatitis.
INTERVENTION(S):
Uric acid crystals were detected in the semen samples. Treatment with a low
purine diet relieved the symptoms.
MAIN OUTCOME MEASURE(S):
Study of chemical and morphological characteristics of crystals found in the
semen using standard semen analysis and transrectal ultrasound. Analysis of
serum, urine, and seminal plasma uric acid levels.
RESULT(S):
Uric acid crystals were detected in semen. A transrectal ultrasound revealed
the presence of microcalcifications in the prostate gland. After treatment
with a low purine diet, the patient experienced considerable relief of the
clinical symptoms. Determination of uric acid and creatinine levels in serum
and seminal plasma were carried out before and after treatment. There were
no abnormalities or presence of crystals in the post-treatment semen
analysis.
CONCLUSION(S):
The presence of uric acid crystals in semen of a patient with symptoms of
chronic prostatitis can be attributed to the pelvic pain.
Reference:
Fertil Steril. 2006
Mar;85(3):751.e1-751.e4. |
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