Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement
Joint Authors
Nunes, Eduardo Araújo Santana
Rosseti, Adroaldo Guimarães
Ribeiro, Daniel Sá
Santiago, Mittermayer
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Nunes, Eduardo Araújo Santana& Rosseti, Adroaldo Guimarães& Ribeiro, Daniel Sá& Santiago, Mittermayer. 2014. Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement. Case Reports in Rheumatology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017697
Modern Language Association (MLA)
Nunes, Eduardo Araújo Santana…[et al.]. Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement. Case Reports in Rheumatology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017697
American Medical Association (AMA)
Nunes, Eduardo Araújo Santana& Rosseti, Adroaldo Guimarães& Ribeiro, Daniel Sá& Santiago, Mittermayer. Gout Initially Mimicking Rheumatoid Arthritis and Later Cervical Spine Involvement. Case Reports in Rheumatology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017697
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017697