Gout in the Chest Misdiagnosed as Ankylosing Spondylitis
Gout is a crystal-related joint disease caused by single sodium urate deposition in the joints or in soft tissues. In recent years, the incidence of gout has increased, but cases of urate crystals deposited in the chest–ribs are rare. Here, we describe a 39-year-old man who complained of frequent pa...
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| Format: | Article |
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Frontiers Media S.A.
2020-10-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fmed.2020.582444/full |
| _version_ | 1828497902180237312 |
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| author | Wenjing Xue Shengkai Zhang Qinqin Wang Wenzhong Que Shanghua Xu |
| author_facet | Wenjing Xue Shengkai Zhang Qinqin Wang Wenzhong Que Shanghua Xu |
| author_sort | Wenjing Xue |
| collection | DOAJ |
| description | Gout is a crystal-related joint disease caused by single sodium urate deposition in the joints or in soft tissues. In recent years, the incidence of gout has increased, but cases of urate crystals deposited in the chest–ribs are rare. Here, we describe a 39-year-old man who complained of frequent pain and a feeling of tightness in chest–ribs and was misdiagnosed as ankylosing spondylitis. In addition, treatment with non-steroidal anti-inflammatory drugs (NSAIDs) and etanercept for 6 months showed no improvement, which confirmed the misdiagnosis. After physical examination, blood examination, and dual-energy CT examination, the patient was diagnosed with gout and received 50 mg benzbromarone once a day with treatment of low serum uric acid. In conclusion, gout in the chest and ribs is an unusual manifestation and has rarely been reported in the literature. This case highlights an important but overlooked history of hyperuricemia in the diagnosis, and dual-energy CT is the preferred method for differential diagnosis of chest–ribs gout. |
| first_indexed | 2024-12-11T12:56:57Z |
| format | Article |
| id | doaj.art-3dd25f2f5c2240be8b85e5bf9d4fb092 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-11T12:56:57Z |
| publishDate | 2020-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-3dd25f2f5c2240be8b85e5bf9d4fb0922022-12-22T01:06:34ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-10-01710.3389/fmed.2020.582444582444Gout in the Chest Misdiagnosed as Ankylosing SpondylitisWenjing Xue0Shengkai Zhang1Qinqin Wang2Wenzhong Que3Shanghua Xu4Department of Rheumatology, The Affiliated Nanping First Hospital of Fujian Medical University, Nanping, ChinaDepartment of Rheumatology, The Affiliated Nanping First Hospital of Fujian Medical University, Nanping, ChinaDepartment of Rheumatology, The Affiliated Nanping First Hospital of Fujian Medical University, Nanping, ChinaDepartment of Rheumatology, The Affiliated Nanping First Hospital of Fujian Medical University, Nanping, ChinaDepartment of Cardiology, The Affiliated Nanping First Hospital of Fujian Medical University, Nanping, ChinaGout is a crystal-related joint disease caused by single sodium urate deposition in the joints or in soft tissues. In recent years, the incidence of gout has increased, but cases of urate crystals deposited in the chest–ribs are rare. Here, we describe a 39-year-old man who complained of frequent pain and a feeling of tightness in chest–ribs and was misdiagnosed as ankylosing spondylitis. In addition, treatment with non-steroidal anti-inflammatory drugs (NSAIDs) and etanercept for 6 months showed no improvement, which confirmed the misdiagnosis. After physical examination, blood examination, and dual-energy CT examination, the patient was diagnosed with gout and received 50 mg benzbromarone once a day with treatment of low serum uric acid. In conclusion, gout in the chest and ribs is an unusual manifestation and has rarely been reported in the literature. This case highlights an important but overlooked history of hyperuricemia in the diagnosis, and dual-energy CT is the preferred method for differential diagnosis of chest–ribs gout.https://www.frontiersin.org/article/10.3389/fmed.2020.582444/fullgouthyperuricemiaankylosing spondylitisdual energy CT (DECT)case report (source: MeSH NLM) |
| spellingShingle | Wenjing Xue Shengkai Zhang Qinqin Wang Wenzhong Que Shanghua Xu Gout in the Chest Misdiagnosed as Ankylosing Spondylitis Frontiers in Medicine gout hyperuricemia ankylosing spondylitis dual energy CT (DECT) case report (source: MeSH NLM) |
| title | Gout in the Chest Misdiagnosed as Ankylosing Spondylitis |
| title_full | Gout in the Chest Misdiagnosed as Ankylosing Spondylitis |
| title_fullStr | Gout in the Chest Misdiagnosed as Ankylosing Spondylitis |
| title_full_unstemmed | Gout in the Chest Misdiagnosed as Ankylosing Spondylitis |
| title_short | Gout in the Chest Misdiagnosed as Ankylosing Spondylitis |
| title_sort | gout in the chest misdiagnosed as ankylosing spondylitis |
| topic | gout hyperuricemia ankylosing spondylitis dual energy CT (DECT) case report (source: MeSH NLM) |
| url | https://www.frontiersin.org/article/10.3389/fmed.2020.582444/full |
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