Tophaceous gout of the atlantoaxial joint: a case report
Abstract Background To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. Case presentation This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-020-02638-9 |
| _version_ | 1818325793461239808 |
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| author | Andrew Benjamin Romero Evan Paul Johnson John S. Kirkpatrick |
| author_facet | Andrew Benjamin Romero Evan Paul Johnson John S. Kirkpatrick |
| author_sort | Andrew Benjamin Romero |
| collection | DOAJ |
| description | Abstract Background To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. Case presentation This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-year-old Caucasian man with a 40-year history of crystal-proven gout and a 3-month history of new-onset progressive myelopathy. The patient's American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria score was 15.0. Conclusion Spinal gout is more common than previously thought, and it should be considered in patients who present with symptoms of myelopathy. Diagnosis can be made without a tissue sample of the affected joint(s) with tools like the ACR/EULAR criteria and the use of the “diagnostic clinical rule” for determining the likelihood of gout. Early conservative management with neck immobilization and medical management can avoid the need for surgical intervention. |
| first_indexed | 2024-12-13T11:50:08Z |
| format | Article |
| id | doaj.art-16013739626741ad8f84cb600ab97758 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-13T11:50:08Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-16013739626741ad8f84cb600ab977582022-12-21T23:47:23ZengBMCJournal of Medical Case Reports1752-19472021-02-011511510.1186/s13256-020-02638-9Tophaceous gout of the atlantoaxial joint: a case reportAndrew Benjamin Romero0Evan Paul Johnson1John S. Kirkpatrick2Department of Orthopaedic Surgery, Orlando VA Medical CenterUniversity of Central Florida College of MedicineDepartment of Orthopaedic Surgery, Orlando VA Medical CenterAbstract Background To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. Case presentation This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-year-old Caucasian man with a 40-year history of crystal-proven gout and a 3-month history of new-onset progressive myelopathy. The patient's American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria score was 15.0. Conclusion Spinal gout is more common than previously thought, and it should be considered in patients who present with symptoms of myelopathy. Diagnosis can be made without a tissue sample of the affected joint(s) with tools like the ACR/EULAR criteria and the use of the “diagnostic clinical rule” for determining the likelihood of gout. Early conservative management with neck immobilization and medical management can avoid the need for surgical intervention.https://doi.org/10.1186/s13256-020-02638-9GoutRadiculopathyNeck painCervical spineAtlantoaxial jointTophaceous |
| spellingShingle | Andrew Benjamin Romero Evan Paul Johnson John S. Kirkpatrick Tophaceous gout of the atlantoaxial joint: a case report Journal of Medical Case Reports Gout Radiculopathy Neck pain Cervical spine Atlantoaxial joint Tophaceous |
| title | Tophaceous gout of the atlantoaxial joint: a case report |
| title_full | Tophaceous gout of the atlantoaxial joint: a case report |
| title_fullStr | Tophaceous gout of the atlantoaxial joint: a case report |
| title_full_unstemmed | Tophaceous gout of the atlantoaxial joint: a case report |
| title_short | Tophaceous gout of the atlantoaxial joint: a case report |
| title_sort | tophaceous gout of the atlantoaxial joint a case report |
| topic | Gout Radiculopathy Neck pain Cervical spine Atlantoaxial joint Tophaceous |
| url | https://doi.org/10.1186/s13256-020-02638-9 |
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