Published: 4 April 2026
Author(s): Toshimasa Yamaguchi, Yuko Inoue
Issue: April 2026
Section: Internal Medicine Flashcards

A 45-year-old man with a history of smoking and dyslipidemia presented with a 3-day history of sudden-onset epigastric pain that occurred while walking. The pain had largely subsided by the time of consultation. Physical examination revealed mild epigastric tenderness. Laboratory results showed hyperuricemia (UA 9.4 mg/dL) and mild hypertriglyceridemia (TG 191 mg/dL), while inflammatory markers and d-dimer (0.5 µg/mL) were within normal limits (Fig. 1).

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