Acute gouty arthritis following percutaneous cryoablation of renal cell carcinoma

Abstract

We report a case of acute gouty monoarthritis of the left ankle in a 58-year-old female with chronic renal insufficiency after cryoablation of a 3.8 cm left renal cell carcinoma. The patient's symptoms resolved after intravenous Solumedrol and did not recur at her 1-month follow-up visit. To the best of our knowledge, this is the first reported case of acute gouty monoarthritis after cryoablation of a renal cell carcinoma lesion in a patient with underlying chronic renal insufficiency. Clinicians should be vigilant of the potential for this complication in at-risk patient populations.

Acute gouty arthritis attacks induced by a great toe injury: a case report and literature review

“…With the prophylactic medications consisting of allopurinol 100 mg and colchicine 0.6 mg daily during the whole period of gemcitabine chemotherapy could prevent GA attack. Mohamed et al [10] reported a case of acute gouty monoarthritis of the left ankle in a 58-year-old female with chronic renal insufficiency. After the cryoablation of a 3.8 cm left renal cell carcinoma, the patient's symptoms disappeared after intravenous Solumedrol.…”

“…According to the available literature [10][11][12][13][14][15][16][17][18][19], gouty arthritis usually occurs in patients with hyperuricemia and it can be induced by a variety of factors. Here, we describe a case of acute gouty arthritis attacks caused by a great toe injury, which was successfully treated with benzbromarone and ibuprofen.…”