Spinal gout with erector spinae muscle entrapment

Wang, Gang; Zhuo, Ning; Tian, Feng; Wen, Zhenhua; Li, Jingyang

doi:10.1093/rheumatology/keab549

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…Therefore, the prevalence of SG is actually to be much higher than currently believed[ 6 ]. SG should be reasonably suspected when patients suffer from long-term gout accompanied with low back pain, limited spinal mobility and neurological symptoms[ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Multiple tophi deposits in the spine: A case report

Chen¹,

Chen²,

Zhou³

et al. 2022

World J Clin Cases

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BACKGROUND Spinal gout (SG) is a rare condition. So far, a limited number of cases have been reported. Herein, we reported a single case of a 42-year-old male patient with SG involving the cervicothoracic and lumbar spine who underwent cervicothoracic segmental surgery. CASE SUMMARY The patient presented to the hospital with neck pain and limb weakness lasting for one month. He had a history of gout for more than 10 years. Clinical and imaging findings indicated bone and joint tophus erosion, and the patient underwent standard tophi excision and internal fixation with a nail-and-rod system. Histopathological examination suggested gout-like lesions. After the operation, the patient’s spinal nerve symptoms disappeared, and muscle strength gradually returned to normal. The patient maintained a low-purine diet and was recommended to engage in healthy exercises. The patient recovered well. CONCLUSION Clinicians should highly suspect SG when patients with chronic gout presented with low back pain and neurological symptoms. Early decompression and debridement surgery are important to relieve neurological symptoms and prevent severe secondary neurological deficits.

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Section: Discussionmentioning

confidence: 99%

Multiple tophi deposits in the spine: A case report

Chen¹,

Chen²,

Zhou³

et al. 2022

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…Synovial fluid of joints showing monosodium urate crystals under polarized light microscopy is the gold standard for the diagnosis of gout [ 10 ]. For some atypical sites such as the spine, heart, lungs, and other organs, the biopsy is difficult, but for sites such as sternoclavicular joints, sternocostal joints, etc., tissue biopsy can accurately diagnose gout [ 12 ]. Given the high specificity of dual-energy CT for the detection of urate crystals and its advantages of non-invasiveness, reproducibility, and accurate assessment of atypical sites, it is considered a promising clinical screening tool for gout [ 13 ].…”

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confidence: 99%