Juvenile Gouty Arthritis

Yarom, Arieh; Rennebohm, Rob M.; Strife, C. Frederic; Levinson, Joseph E.

doi:10.1001/archpedi.1984.02140480057017

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1985

2015

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Cited by 11 publications

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“…We believe that hyperuricemia in PSAGN is caused by the same mechanism. Similar cases of juvenile gouty arthritis associated with mild renal insufficiency have been reported previously [6]. …”

Section: Discussionsupporting

confidence: 84%

Post-streptococcal acute glomerulonephritis complicated by gouty arthritis: a case report

et al. 2015

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Gouty arthritis is uncommon in childhood and adolescence. On the other hand, there has been no report of cases with development of gouty arthritis with post-streptococcal acute glomerulonephritis (PSAGN) in pediatric patients. Here we report the case of a mildly obese 12-year-old boy with PSAGN complicated by gouty arthritis of the left first metatarsophalangeal joint. On follow-up, it was confirmed that as serum C3 level returned to normal, urinary excretion of uric acid increased and serum uric acid level decreased, thereby resolving the burning pain of the left big toe. In this case, not only did renal insufficiency associate with PSAGN but also mild obesity may have led to hyperuricemia and gouty arthritis. In conclusion, clinicians should be aware that PSAGN may be complicated by gouty arthritis in obese pediatric patients.

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Section: Discussionsupporting

confidence: 84%