Treatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysis

Abstract The case of Lumbar spinal stenosis (LSS) combined with tophi due to gout is rarely reported. In the course of our clinic work, we encountered a young male patient who was diagnosed with a history of gout for 5 years and was targeted as LSS combined with gouty tophi, and we would like to sha...

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Main Authors: Xiao Zhang, Wenbo Gu, Di Luo, Xi Zhu, Xusheng Li, Haifeng Yuan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-025-08273-z
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author Xiao Zhang
Wenbo Gu
Di Luo
Xi Zhu
Xusheng Li
Haifeng Yuan
author_facet Xiao Zhang
Wenbo Gu
Di Luo
Xi Zhu
Xusheng Li
Haifeng Yuan
author_sort Xiao Zhang
collection DOAJ
description Abstract The case of Lumbar spinal stenosis (LSS) combined with tophi due to gout is rarely reported. In the course of our clinic work, we encountered a young male patient who was diagnosed with a history of gout for 5 years and was targeted as LSS combined with gouty tophi, and we would like to share this case. In addition, in order to further investigate the deep mechanism of LSS associated with gout, we obtained the intersecting genes of the two diseases based on a machine learning approach by obtaining the dataset GSE113212 related to LSS from the Gene Expression Omnibus (GEO) database, and the genes related to gout from the human gene database. We found that TGFB1, PPARG, and SAMRCC1 may be important biomarkers for treating of both diseases. From a clinical perspective, clinicians should be vigilant about the possibility of gouty lumbar spinal stenosis with tophi in young patients presenting with back pain, hyperuricemia, and elevated inflammatory markers. A combined surgical and pharmacological treatment plan has a favorable prognosis. Investigating the mechanisms of action of core genes may provide new insights for treatment, ultimately leading to the development of comprehensive and personalized diagnostic and therapeutic strategies.
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spelling doaj-art-6acb1c94ef5e49c39236f89cd83bdc402025-01-19T12:04:28ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-012611810.1186/s12891-025-08273-zTreatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysisXiao Zhang0Wenbo Gu1Di Luo2Xi Zhu3Xusheng Li4Haifeng Yuan5General Hospital of Ningxia Medical UniversityGeneral Hospital of Ningxia Medical UniversityNingxia Medical UniversityGeneral Hospital of Ningxia Medical UniversityGeneral Hospital of Ningxia Medical UniversityGeneral Hospital of Ningxia Medical UniversityAbstract The case of Lumbar spinal stenosis (LSS) combined with tophi due to gout is rarely reported. In the course of our clinic work, we encountered a young male patient who was diagnosed with a history of gout for 5 years and was targeted as LSS combined with gouty tophi, and we would like to share this case. In addition, in order to further investigate the deep mechanism of LSS associated with gout, we obtained the intersecting genes of the two diseases based on a machine learning approach by obtaining the dataset GSE113212 related to LSS from the Gene Expression Omnibus (GEO) database, and the genes related to gout from the human gene database. We found that TGFB1, PPARG, and SAMRCC1 may be important biomarkers for treating of both diseases. From a clinical perspective, clinicians should be vigilant about the possibility of gouty lumbar spinal stenosis with tophi in young patients presenting with back pain, hyperuricemia, and elevated inflammatory markers. A combined surgical and pharmacological treatment plan has a favorable prognosis. Investigating the mechanisms of action of core genes may provide new insights for treatment, ultimately leading to the development of comprehensive and personalized diagnostic and therapeutic strategies.https://doi.org/10.1186/s12891-025-08273-zLumbar spinal stenosisGoutGouty tophiData miningCase report
spellingShingle Xiao Zhang
Wenbo Gu
Di Luo
Xi Zhu
Xusheng Li
Haifeng Yuan
Treatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysis
BMC Musculoskeletal Disorders
Lumbar spinal stenosis
Gout
Gouty tophi
Data mining
Case report
title Treatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysis
title_full Treatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysis
title_fullStr Treatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysis
title_full_unstemmed Treatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysis
title_short Treatment of gouty lumbar spinal stenosis: a case report and bioinformatics analysis
title_sort treatment of gouty lumbar spinal stenosis a case report and bioinformatics analysis
topic Lumbar spinal stenosis
Gout
Gouty tophi
Data mining
Case report
url https://doi.org/10.1186/s12891-025-08273-z
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