Bilateral Sesamoiditis as First Manifestation of Gout
Sesamoiditis secondary to gout is an extremely rare condition with few case reports in the literature. It is an important differential diagnosis because the treatment depends on targeted therapy, unlike the main causes of sesamoiditis that often involves immobilization with special orthoses and pres...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8890549 |
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| author | Daniel de Oliveira Beraldo Sasha Duarte Gustavo Pacheco Rodrigo Barbosa Carolina Mendes Marcela Silva Fabiana Beraldo Andrei Alkmim Ricardo Teixeira Alexandre Bonfim |
| author_facet | Daniel de Oliveira Beraldo Sasha Duarte Gustavo Pacheco Rodrigo Barbosa Carolina Mendes Marcela Silva Fabiana Beraldo Andrei Alkmim Ricardo Teixeira Alexandre Bonfim |
| author_sort | Daniel de Oliveira Beraldo |
| collection | DOAJ |
| description | Sesamoiditis secondary to gout is an extremely rare condition with few case reports in the literature. It is an important differential diagnosis because the treatment depends on targeted therapy, unlike the main causes of sesamoiditis that often involves immobilization with special orthoses and prescription of anti-inflammatory drugs. We report here a case of a 38-year-old male, athlete, with bipartite medial sesamoid, who had insidious pain in the base of the left hallux. Laboratory tests showed no alterations, and imaging examinations demonstrated sesamoiditis with suspicion of stress fracture. The patient was initially prescribed an immobilization boot and analgesic and anti-inflammatory drugs, but he did not respond to the measures taken. After the onset of the same condition in the contralateral foot and getting the same imaging findings, we began an investigation of systemic disease, focusing on gout, because of a positive family history, which was confirmed by dual-energy computed tomography. |
| format | Article |
| id | doaj-art-75b46b402c0947d5b68a3438e177a100 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-75b46b402c0947d5b68a3438e177a1002025-02-03T05:53:53ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88905498890549Bilateral Sesamoiditis as First Manifestation of GoutDaniel de Oliveira Beraldo0Sasha Duarte1Gustavo Pacheco2Rodrigo Barbosa3Carolina Mendes4Marcela Silva5Fabiana Beraldo6Andrei Alkmim7Ricardo Teixeira8Alexandre Bonfim9Hospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilHospital Renascentista, Pouso Alegre, MG, BrazilSesamoiditis secondary to gout is an extremely rare condition with few case reports in the literature. It is an important differential diagnosis because the treatment depends on targeted therapy, unlike the main causes of sesamoiditis that often involves immobilization with special orthoses and prescription of anti-inflammatory drugs. We report here a case of a 38-year-old male, athlete, with bipartite medial sesamoid, who had insidious pain in the base of the left hallux. Laboratory tests showed no alterations, and imaging examinations demonstrated sesamoiditis with suspicion of stress fracture. The patient was initially prescribed an immobilization boot and analgesic and anti-inflammatory drugs, but he did not respond to the measures taken. After the onset of the same condition in the contralateral foot and getting the same imaging findings, we began an investigation of systemic disease, focusing on gout, because of a positive family history, which was confirmed by dual-energy computed tomography.http://dx.doi.org/10.1155/2020/8890549 |
| spellingShingle | Daniel de Oliveira Beraldo Sasha Duarte Gustavo Pacheco Rodrigo Barbosa Carolina Mendes Marcela Silva Fabiana Beraldo Andrei Alkmim Ricardo Teixeira Alexandre Bonfim Bilateral Sesamoiditis as First Manifestation of Gout Case Reports in Orthopedics |
| title | Bilateral Sesamoiditis as First Manifestation of Gout |
| title_full | Bilateral Sesamoiditis as First Manifestation of Gout |
| title_fullStr | Bilateral Sesamoiditis as First Manifestation of Gout |
| title_full_unstemmed | Bilateral Sesamoiditis as First Manifestation of Gout |
| title_short | Bilateral Sesamoiditis as First Manifestation of Gout |
| title_sort | bilateral sesamoiditis as first manifestation of gout |
| url | http://dx.doi.org/10.1155/2020/8890549 |
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