Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report.
This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resul...
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| Format: | Article |
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2005
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| author | Wazir, N.N. Moorthy, V. Amalourde, A. Lim, H.H. |
| author_facet | Wazir, N.N. Moorthy, V. Amalourde, A. Lim, H.H. |
| author_sort | Wazir, N.N. |
| collection | UM |
| description | This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resulting in joint instability, subluxation, and neurological deficit. A 66-year-old obese woman who had a polyarticular disease for the previous 3 years presented with neck pain and progressive neurology. A 2-stage procedure was performed: posterior decompression and occipitocervical fusion followed by further anterior trans-oral decompression. However, after an initial neurological improvement, she succumbed to aspirational pneumonia and septicaemia. Atlanto-axial subluxation caused by gouty arthritis can present in the same way as rheumatoid arthritis. Therefore, the possibility of this as a differential diagnosis should be kept in mind. |
| first_indexed | 2024-03-06T05:04:49Z |
| format | Article |
| id | um.eprints-540 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T05:04:49Z |
| publishDate | 2005 |
| record_format | dspace |
| spelling | um.eprints-5402014-10-20T03:35:30Z http://eprints.um.edu.my/540/ Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. Wazir, N.N. Moorthy, V. Amalourde, A. Lim, H.H. R Medicine (General) This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resulting in joint instability, subluxation, and neurological deficit. A 66-year-old obese woman who had a polyarticular disease for the previous 3 years presented with neck pain and progressive neurology. A 2-stage procedure was performed: posterior decompression and occipitocervical fusion followed by further anterior trans-oral decompression. However, after an initial neurological improvement, she succumbed to aspirational pneumonia and septicaemia. Atlanto-axial subluxation caused by gouty arthritis can present in the same way as rheumatoid arthritis. Therefore, the possibility of this as a differential diagnosis should be kept in mind. 2005-08 Article PeerReviewed Wazir, N.N. and Moorthy, V. and Amalourde, A. and Lim, H.H. (2005) Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. Journal of orthopaedic surgery (Hong Kong), 13 (2). pp. 203-6. ISSN 1022-5536, DOI 16131689. 16131689 |
| spellingShingle | R Medicine (General) Wazir, N.N. Moorthy, V. Amalourde, A. Lim, H.H. Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. |
| title | Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. |
| title_full | Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. |
| title_fullStr | Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. |
| title_full_unstemmed | Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. |
| title_short | Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. |
| title_sort | tophaceous gout causing atlanto axial subluxation mimicking rheumatoid arthritis a case report |
| topic | R Medicine (General) |
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