Chronic Miliarial Gout Associated with Carpal Tunnel Syndrome: A Very Rare Clinical Presentation

Abstract

This case report describes an unusual form of gout, called miliarial gout, in association with carpal tunnel syndrome in a 54-year-old woman. Miliarial gout was first described in 2007 and is a very rare presentation of chronic tophaceous gout. The latter condition can cause carpal tunnel syndrome, but this association has not previously been described in association with miliarial gout. In addition, the authors discuss the use of the parsimony principle in internal medicine whereby a single cause is first sought for different symptoms presenting at the same time.

Miliarial gout: Clinical case and a brief review

“…We reviewed 11 cases of miliarial gout reported in the literature (including the current case), 2–11 with a mean age of 50 (SD = 15) years old, and male preponderance (82%) (Table 1). Of note, 64% of reported cases had no known history of gout, and miliarial gout could be the first manifestation of tophaceous gout.…”

“…Miliarial gout is a rare variant of the cutaneous form of gout consisting of milialike papules, first described by Shukla et al in 2007. 2 We reviewed 11 cases of miliarial gout reported in the literature (including the current case), [2][3][4][5][6][7][8][9][10][11] with a mean age of 50 (SD = 15) years old, and male preponderance (82%) (Table 1). Of note, 64% of reported cases had no known history of gout, and miliarial gout could be the first manifestation of tophaceous gout.…”