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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...

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Autores principales: Romero, Andrew Benjamin, Johnson, Evan Paul, Kirkpatrick, John S.
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
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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.
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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
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