Document Detail


Tophaceous gout in the cervical spine.
MedLine Citation:
PMID:  22293812     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 58-year-old woman with a three-year progressive history of chronic arthritis, had become disabled due to general malaise and fever. Her laboratory data revealed hyperuricemia and elevated levels of C-reactive protein. Neither rheumatoid factor nor anti-citrullinated peptide antibodies were present. We diagnosed her with tophaceous gout with uric crystalline revealed by the arthrocentesis of the elbow. (99m)Tc scintigraphy also disclosed a significant uptake in the cervical spine. The CT of the patient's cervical spine revealed significant bone erosion and destruction. We diagnosed the cervical involvement of gout based on the exclusion of infections and sarcoidosis. Rheumatologists should be aware of this rare association.
Authors:
Motohisa Yamamoto; Tetsuya Tabeya; Yoshiharu Masaki; Chisako Suzuki; Yasuyoshi Naishiro; Keisuke Ishigami; Hidetaka Yajima; Yui Shimizu; Mikiko Obara; Hiroyuki Yamamoto; Toshiaki Sugaya; Hiroki Takahashi; Kohzoh Imai; Yasuhisa Shinomura
Publication Detail:
Type:  Journal Article     Date:  2012-02-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  51     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2012  
Date Detail:
Created Date:  2012-02-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  325-8     Citation Subset:  IM    
Affiliation:
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan.
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