Rare Location and Clinical Presentation of Gout Disease: Distal Ulna Localized Gout Disease and Acute Gout Attack of the Wrist

Abstract

Gout is one of the most common inflammatory arthritis in adults. This disorder is caused by the accumulation of monosodium urate crystals in soft tissues and joints because of the hyperuricemia. One of the lower extremity joint especially the first metatarsophalangeal joint is affected by more than 75% of the gout attacks. In this study, we reported a rare presentation of gout disease, the acute gout attack of the wrist, in a woman, 72 years aged, who has not been diagnosed before. Gout which occurs with the involvement of the wrist is very rare and no other cases with distal ulna localization have been reported according to our knowledge. We reported the first case of gout disease which started from distal ulna. The patient was operated because the symptoms did not recover with conservative treatments.