Rare Location and Clinical Presentation of Gout Disease: Distal Ulna Localized Gout Disease and Acute Gout Attack of the Wrist

Year 2020, Volume: 10 Issue: 2, 183 - 185, 29.06.2020

Recep Öztürk Hüseyin Doğan Emek Mert Duman Bedii Gungor

https://doi.org/10.33808/clinexphealthsci.560202

Abstract

Gout is one of the most common inflammatory arthritis in adults. This disorder is caused by the accumulation of monosodium urate crystals in

soft tissues and joints because of the hyperuricemia. One of the lower extremity joint especially the first metatarsophalangeal joint is affected

by more than 75% of the gout attacks. In this study, we reported a rare presentation of gout disease, the acute gout attack of the wrist, in a

woman, 72 years aged, who has not been diagnosed before. Gout which occurs with the involvement of the wrist is very rare and no other cases

with distal ulna localization have been reported according to our knowledge. We reported the first case of gout disease which started from distal

ulna. The patient was operated because the symptoms did not recover with conservative treatments.

Keywords

gout, acute attack, ulna, tophi, wris

References

• 1- Jacobs CL, Stern PJ. An unusual case of gout in the wrist: the importance of monitoring medication dosage and interaction. A case report. Chiropr Osteopat. 2007;15-6.
• 2- Kamimura T, Hatakeyama M, Okazaki H, Minota S. Acute gout attack in the wrist joint. Intern Med. 2004;43(7):641-2.
• 3- Gaviria JL, Ortega VG, Gaona J, Motta A, Medina Barragán OJ. Unusual dermatological manifestations of gout: review of literature and a case report. Plast Reconstr Surg Glob Open 2015;3:445.
• 4- Fitzgerald BT, Setty A, Mudgal CS. Gout affecting the hand and wrist. J Am Acad Orthop Surg. 2007;15(10):625-35.
• 5- Wallace SL, Robinson H, Masi AT, Decker JL, McCarty DJ, Yu TF. Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum 1977;20: 895–900. 6- Purohit MB, Purohit TM, Tandon RK. FNAC of gouty tophi—a case report. Indian J Pathol Microbiol 2006;49:42–3.
• 7- Bouaziz W, Rekik MA, Guidara AR, Keskes H. Infection of a tophaceous nodule of the wirst and hand. BMJ Case Rep 2018;28:2018.
• 8- Cimmino MA, Zampogna G, Parodi M, Andracco R, Barbieri F, Paparo F, et al. MRI synovitis and bone lesions are common in acute gouty arthritis of the wrist even during the first attack. Ann Rheum Dis. 2011;70(12):2238-9.
• 9- Kalia KK, Moossy JJ. Carpal tunnel release complicated by acute gout. Neurosurgery. 1993;33(6):1102-3.
• 10- Lu H, Chen Q, Shen H. A repeated carpal tunnel syndrome due to tophaceous gout in flexor tendon: A case report. Medicine (Baltimore). 2017;96(9):6245.
• 11- Skedros JG, Smith JS, Henrie MK, Finlinson ED, Trachtenberg JD. Upper Extremity Compartment Syndrome in a Patient with Acute Gout Attack but without Trauma or Other Typical Causes. Case Rep Orthop. 2018;23:2018.
• 12- Bousson V, Hamze B, Wybıer M, Daguet E, Parlier C, Petrover D, et al. Soft tissue tumors and pseudotumors of the foot and ankle. j radiol 2008;89: 21.
• 13- Abhishek A, Roddy E, Doherty M. Gout - a guide for the general and acute physicians. Clin Med (Lond). 2017;17(1):54-9.
• 14- Ochoa CD, Valderrama V, Mejia J, Rondon F, Villaroya N, Restrepo JF, et al. Panniculitis: another clinical expression of gout. Rheumatol Int. 2011;31(6):831-5.
• 15- Weberschock T, Gholam P, Hartschuh W, Hartmann M. Gouty panniculitis in a 68-year-old man: case report and review of the literature. Int J Dermatol 2010;49:410–3.
• 16- Martin D, Joliat GR, Fournier P, Brunel C, Demartines N, Gié O. An unusual location of gouty panniculitis: A case report. Medicine (Baltimore). 2017;96(16):6733.