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A rare cause of back pain and radiculopathy – spinal tophi: a case report
BACKGROUND: Gout is a monosodium urate deposition disease which is prevalent worldwide. The usual manifestations are crystal arthropathy and tophi deposition in the soft tissues. Spinal tophi may also occur and are rarely reported, resulting in various clinical manifestations such as back pain, spin...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325858/ https://www.ncbi.nlm.nih.gov/pubmed/30626451 http://dx.doi.org/10.1186/s13256-018-1940-4 |
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author | Wan, S. A. Teh, C. L. Jobli, A. T. Cheong, Y. K. Chin, W. V. Tan, B. B. |
author_facet | Wan, S. A. Teh, C. L. Jobli, A. T. Cheong, Y. K. Chin, W. V. Tan, B. B. |
author_sort | Wan, S. A. |
collection | PubMed |
description | BACKGROUND: Gout is a monosodium urate deposition disease which is prevalent worldwide. The usual manifestations are crystal arthropathy and tophi deposition in the soft tissues. Spinal tophi may also occur and are rarely reported, resulting in various clinical manifestations such as back pain, spinal cord compression, radiculopathy, and even mimicking epidural abscess and spondylodiscitis. CASE PRESENTATION: We report a case of a 42-year-old Chinese man with underlying gout who presented with back pain and radiculopathy. The diagnosis of spinal tophi was unsuspected and he was initially treated for epidural abscess and spondylodiscitis. He underwent a laminectomy and posterolateral fusion during which tophus material was discovered. He recovered and medications for gout were started. CONCLUSION: Spinal tophi are rare. The diagnosis is difficult and spinal tophi may be mistaken for epidural abscess, spondylodiscitis, or neoplasm. |
format | Online Article Text |
id | pubmed-6325858 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63258582019-01-11 A rare cause of back pain and radiculopathy – spinal tophi: a case report Wan, S. A. Teh, C. L. Jobli, A. T. Cheong, Y. K. Chin, W. V. Tan, B. B. J Med Case Rep Case Report BACKGROUND: Gout is a monosodium urate deposition disease which is prevalent worldwide. The usual manifestations are crystal arthropathy and tophi deposition in the soft tissues. Spinal tophi may also occur and are rarely reported, resulting in various clinical manifestations such as back pain, spinal cord compression, radiculopathy, and even mimicking epidural abscess and spondylodiscitis. CASE PRESENTATION: We report a case of a 42-year-old Chinese man with underlying gout who presented with back pain and radiculopathy. The diagnosis of spinal tophi was unsuspected and he was initially treated for epidural abscess and spondylodiscitis. He underwent a laminectomy and posterolateral fusion during which tophus material was discovered. He recovered and medications for gout were started. CONCLUSION: Spinal tophi are rare. The diagnosis is difficult and spinal tophi may be mistaken for epidural abscess, spondylodiscitis, or neoplasm. BioMed Central 2019-01-08 /pmc/articles/PMC6325858/ /pubmed/30626451 http://dx.doi.org/10.1186/s13256-018-1940-4 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Wan, S. A. Teh, C. L. Jobli, A. T. Cheong, Y. K. Chin, W. V. Tan, B. B. A rare cause of back pain and radiculopathy – spinal tophi: a case report |
title | A rare cause of back pain and radiculopathy – spinal tophi: a case report |
title_full | A rare cause of back pain and radiculopathy – spinal tophi: a case report |
title_fullStr | A rare cause of back pain and radiculopathy – spinal tophi: a case report |
title_full_unstemmed | A rare cause of back pain and radiculopathy – spinal tophi: a case report |
title_short | A rare cause of back pain and radiculopathy – spinal tophi: a case report |
title_sort | rare cause of back pain and radiculopathy – spinal tophi: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325858/ https://www.ncbi.nlm.nih.gov/pubmed/30626451 http://dx.doi.org/10.1186/s13256-018-1940-4 |
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