Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement
Gout is clinically characterized by episodes of monoarthritis, but if not treated properly, it can lead to a chronic polyarthritis, which may eventually mimic rheumatoid arthritis (RA). We present the case of a 59-year-old man, with a history of symmetrical polyarthritis of the large and small joint...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2014/357826 |
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| author | Eduardo Araújo Santana Nunes Adroaldo Guimarães Rosseti Daniel Sá Ribeiro Mittermayer Santiago |
| author_facet | Eduardo Araújo Santana Nunes Adroaldo Guimarães Rosseti Daniel Sá Ribeiro Mittermayer Santiago |
| author_sort | Eduardo Araújo Santana Nunes |
| collection | DOAJ |
| description | Gout is clinically characterized by episodes of monoarthritis, but if not treated properly, it can lead to a chronic polyarthritis, which may eventually mimic rheumatoid arthritis (RA). We present the case of a 59-year-old man, with a history of symmetrical polyarthritis of the large and small joints with later development of subcutaneous nodules, which was initially misdiagnosed as RA, being treated with prednisone and methotrexate for a long period of time. He complained of occipital pain and paresthesia in his left upper limb, and computed tomography (CT) and magnetic resonance imaging (MRI) revealed the presence of an expansive formation in the cervical spine with compression of the medulla. He was admitted for spinal decompressive surgery and the biopsy specimen demonstrated a gouty tophus. Chronic gout can mimic RA and rarely involves the axial skeleton, and thus its correct diagnosis and the implementation of adequate therapy can halt the development of such damaging complications. |
| format | Article |
| id | doaj-art-019c48b309984261bbf7588297229fbd |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-019c48b309984261bbf7588297229fbd2025-02-03T05:52:06ZengWileyCase Reports in Rheumatology2090-68892090-68972014-01-01201410.1155/2014/357826357826Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine InvolvementEduardo Araújo Santana Nunes0Adroaldo Guimarães Rosseti1Daniel Sá Ribeiro2Mittermayer Santiago3Department of Rheumatology, Santa Izabel Hospital, Praça Almeida Couto 500, 40050-410 Salvador, BA, BrazilDepartment of Neurosurgery, Santa Izabel Hospital, Praça Almeida Couto 500, 40050-410 Salvador, BA, BrazilDepartment of Radiology and Image Memorial Radiology Service, Santa Izabel Hospital, Praça Almeida Couto 500, 40050-410 Salvador, BA, BrazilDepartment of Rheumatology, Santa Izabel Hospital, Praça Almeida Couto 500, 40050-410 Salvador, BA, BrazilGout is clinically characterized by episodes of monoarthritis, but if not treated properly, it can lead to a chronic polyarthritis, which may eventually mimic rheumatoid arthritis (RA). We present the case of a 59-year-old man, with a history of symmetrical polyarthritis of the large and small joints with later development of subcutaneous nodules, which was initially misdiagnosed as RA, being treated with prednisone and methotrexate for a long period of time. He complained of occipital pain and paresthesia in his left upper limb, and computed tomography (CT) and magnetic resonance imaging (MRI) revealed the presence of an expansive formation in the cervical spine with compression of the medulla. He was admitted for spinal decompressive surgery and the biopsy specimen demonstrated a gouty tophus. Chronic gout can mimic RA and rarely involves the axial skeleton, and thus its correct diagnosis and the implementation of adequate therapy can halt the development of such damaging complications.http://dx.doi.org/10.1155/2014/357826 |
| spellingShingle | Eduardo Araújo Santana Nunes Adroaldo Guimarães Rosseti Daniel Sá Ribeiro Mittermayer Santiago Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement Case Reports in Rheumatology |
| title | Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement |
| title_full | Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement |
| title_fullStr | Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement |
| title_full_unstemmed | Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement |
| title_short | Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement |
| title_sort | gout initially mimicking rheumatoid arthritis and later cervical spine involvement |
| url | http://dx.doi.org/10.1155/2014/357826 |
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