Cargando…
Tophaceous gout of the atlantoaxial joint: a case report
BACKGROUND: To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. CASE PRESENTATION: This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-y...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885401/ https://www.ncbi.nlm.nih.gov/pubmed/33588945 http://dx.doi.org/10.1186/s13256-020-02638-9 |
_version_ | 1783651597326221312 |
---|---|
author | Romero, Andrew Benjamin Johnson, Evan Paul Kirkpatrick, John S. |
author_facet | Romero, Andrew Benjamin Johnson, Evan Paul Kirkpatrick, John S. |
author_sort | Romero, Andrew Benjamin |
collection | PubMed |
description | BACKGROUND: To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. CASE PRESENTATION: This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-year-old Caucasian man with a 40-year history of crystal-proven gout and a 3-month history of new-onset progressive myelopathy. The patient's American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria score was 15.0. CONCLUSION: Spinal gout is more common than previously thought, and it should be considered in patients who present with symptoms of myelopathy. Diagnosis can be made without a tissue sample of the affected joint(s) with tools like the ACR/EULAR criteria and the use of the “diagnostic clinical rule” for determining the likelihood of gout. Early conservative management with neck immobilization and medical management can avoid the need for surgical intervention. |
format | Online Article Text |
id | pubmed-7885401 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78854012021-02-17 Tophaceous gout of the atlantoaxial joint: a case report Romero, Andrew Benjamin Johnson, Evan Paul Kirkpatrick, John S. J Med Case Rep Case Report BACKGROUND: To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. CASE PRESENTATION: This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-year-old Caucasian man with a 40-year history of crystal-proven gout and a 3-month history of new-onset progressive myelopathy. The patient's American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria score was 15.0. CONCLUSION: Spinal gout is more common than previously thought, and it should be considered in patients who present with symptoms of myelopathy. Diagnosis can be made without a tissue sample of the affected joint(s) with tools like the ACR/EULAR criteria and the use of the “diagnostic clinical rule” for determining the likelihood of gout. Early conservative management with neck immobilization and medical management can avoid the need for surgical intervention. BioMed Central 2021-02-15 /pmc/articles/PMC7885401/ /pubmed/33588945 http://dx.doi.org/10.1186/s13256-020-02638-9 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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 in a credit line to the data. |
spellingShingle | Case Report Romero, Andrew Benjamin Johnson, Evan Paul Kirkpatrick, John S. Tophaceous gout of the atlantoaxial joint: a case report |
title | Tophaceous gout of the atlantoaxial joint: a case report |
title_full | Tophaceous gout of the atlantoaxial joint: a case report |
title_fullStr | Tophaceous gout of the atlantoaxial joint: a case report |
title_full_unstemmed | Tophaceous gout of the atlantoaxial joint: a case report |
title_short | Tophaceous gout of the atlantoaxial joint: a case report |
title_sort | tophaceous gout of the atlantoaxial joint: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885401/ https://www.ncbi.nlm.nih.gov/pubmed/33588945 http://dx.doi.org/10.1186/s13256-020-02638-9 |
work_keys_str_mv | AT romeroandrewbenjamin tophaceousgoutoftheatlantoaxialjointacasereport AT johnsonevanpaul tophaceousgoutoftheatlantoaxialjointacasereport AT kirkpatrickjohns tophaceousgoutoftheatlantoaxialjointacasereport |