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A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations
Study Design Case report. Objective The objective of this study is to report the occurrence of tophaceous gout in the lumbar spine. Methods Using a case report to illustrate the key points of gout in the spine, we provide a brief review of gout in the literature as it relates to its orthopedic and s...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969431/ https://www.ncbi.nlm.nih.gov/pubmed/24715872 http://dx.doi.org/10.1055/s-0034-1366979 |
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author | Jegapragasan, Mithulan Calniquer, Alejandro Hwang, William D. Nguyen, Quynh T. Child, Zachary |
author_facet | Jegapragasan, Mithulan Calniquer, Alejandro Hwang, William D. Nguyen, Quynh T. Child, Zachary |
author_sort | Jegapragasan, Mithulan |
collection | PubMed |
description | Study Design Case report. Objective The objective of this study is to report the occurrence of tophaceous gout in the lumbar spine. Methods Using a case report to illustrate the key points of gout in the spine, we provide a brief review of gout in the literature as it relates to its orthopedic and spinal manifestations as well as guidelines for management. Results This case report details the occurrence of a large and clinically significant finding of tophaceous gout in the lumbar spine in a 24-year-old man with a known history of gout and a 3-year history of progressive back pain. Conclusion A high index of suspicion can assist in diagnosis of patients presenting with back pain or neurologic findings with a history of gout. A previous history of gout (especially the presence of tophi), hyperuricemia, and the radiological characteristics presented here should aid the clinician in making the diagnosis of spinal gout. Early diagnosis has the potential to prevent the need for surgical intervention. |
format | Online Article Text |
id | pubmed-3969431 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-39694312015-04-01 A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations Jegapragasan, Mithulan Calniquer, Alejandro Hwang, William D. Nguyen, Quynh T. Child, Zachary Evid Based Spine Care J Article Study Design Case report. Objective The objective of this study is to report the occurrence of tophaceous gout in the lumbar spine. Methods Using a case report to illustrate the key points of gout in the spine, we provide a brief review of gout in the literature as it relates to its orthopedic and spinal manifestations as well as guidelines for management. Results This case report details the occurrence of a large and clinically significant finding of tophaceous gout in the lumbar spine in a 24-year-old man with a known history of gout and a 3-year history of progressive back pain. Conclusion A high index of suspicion can assist in diagnosis of patients presenting with back pain or neurologic findings with a history of gout. A previous history of gout (especially the presence of tophi), hyperuricemia, and the radiological characteristics presented here should aid the clinician in making the diagnosis of spinal gout. Early diagnosis has the potential to prevent the need for surgical intervention. Georg Thieme Verlag KG 2014-04 /pmc/articles/PMC3969431/ /pubmed/24715872 http://dx.doi.org/10.1055/s-0034-1366979 Text en © Thieme Medical Publishers |
spellingShingle | Article Jegapragasan, Mithulan Calniquer, Alejandro Hwang, William D. Nguyen, Quynh T. Child, Zachary A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations |
title | A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations |
title_full | A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations |
title_fullStr | A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations |
title_full_unstemmed | A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations |
title_short | A Case of Tophaceous Gout in the Lumbar Spine: A Review of the Literature and Treatment Recommendations |
title_sort | case of tophaceous gout in the lumbar spine: a review of the literature and treatment recommendations |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969431/ https://www.ncbi.nlm.nih.gov/pubmed/24715872 http://dx.doi.org/10.1055/s-0034-1366979 |
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