Tophaceous Gout Involving the Whole Spine: An Unusual Case Report

Shin, Minwoo; Lee, Jihae; Cho, Woo Ho; Kim, Jae Hyung; Jeong, Myeong Ja; Kim, Soung Hee; Kim, Jiyoung; Kim, Soo Hyun; Kang, Mi‐Jin; Cho, Hyun Sun; Lee, Han Bee

doi:10.3348/jksr.2012.66.2.193

Cited by 1 publication

(2 citation statements)

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“…Extensive spinal involvement of gout was also reported in a 52-year-oldmale with chronic tophaceous gout. In this case, the gout involved his cervical, thoracic and lumbar spines and caused cervical spinal cord compression resulting in paraplegia and sensory loss [10]. All of the patients of spinal gout in Korea were a man.…”

Section: Discussionmentioning

confidence: 90%

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Chronic Tophaceous Gout in Multiple Spines: A Case Report and Literature Review

et al. 2015

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Gout typically affects the 1st metatarsophalangeal joint. Spinal gout is rarely reported. Moreover, involvement of extensive spines is remarkably unusual. We describe a case of a 76-year-old woman with gout involving cervical, thoracic, and lumbar spines and sacroiliac joint. She presented with fever, severe back pain, and polyarthralgia and had multiple tophi on both elbows and the left 2nd and 5th proximal interphalangeal (PIP) joints. Monosodium urate crystals were confirmed from tophi on the left 5th PIP joint by polarized optical microscopy. Magnetic resonance imaging and computed tomography showed joint space narrowing and bony erosions on cervical, thoracic, and lumbar spines, and sacroiliac joint. Fever, back pain, and polyarthralgia improved significantly with oral steroid therapy. Spinal gout can involve multiple spines and other joints and it can be improved by medical treatment only. It should be considered in patients with uncontrolled gout who have acute severe back pain. (J Rheum Dis 2015;22:250-255)

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Section: Discussionmentioning

confidence: 90%

“…In previous reports, there were only 4 cases of the patients with chronic tophaceous gout involving axial joints in Korea and all of the patients were a man [7][8][9][10]. We report a case of a 76-year-old woman with gout that affected extensive spines including cervical, thoracic, and lumbar spines and sacroiliac joints.…”

Section: Introductionmentioning

confidence: 88%