Case Report
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Coexistence of chronic tophi with gout and sacroiliitis: a case report

Year 2021, , 840 - 843, 30.06.2021
https://doi.org/10.17826/cumj.839109

Abstract

Spondyloarthritis (SpA) which is the most common cause of sacroiliitis, can also be seen in trauma, infection, malignancies and crystal arthropathies. Axial skeletal manifestation is expected in chronic gout, manifestation in the sacroiliac joint is even less common. The expected age range for gout-related sacroiliitis is 45-80, and it is extremely rare under the age of 40. The case we present is the youngest case in the literature and it is important to remind other causes of sacroiliitis etiology other than SpA.

References

  • 1. Dalbeth N, Merriman TR and Stamp LK. Gout. Lancet (London, England). 2016; 388: 2039-52.
  • 2. Chhana A, Pool B, Wei Y, et al. Human Cartilage Homogenates Influence the Crystallization of Monosodium Urate and Inflammatory Response to Monosodium Urate Crystals: A Potential Link Between Osteoarthritis and Gout. Arthritis & rheumatology (Hoboken, NJ). 2019; 71: 2090-9.
  • 3. Martillo MA, Nazzal L and Crittenden DB. The crystallization of monosodium urate. Current rheumatology reports. 2014; 16: 400.
  • 4. Chen W, Wang Y, Li Y, et al. Gout mimicking spondyloarthritis: case report and literature review. Journal of pain research. 2017; 10: 1511-4.
  • 5. Namas R, Hegazin SB, Memişoğlu E and Joshi A. Lower back pain as a manifestation of acute gouty sacroiliitis: Utilization of dual-energy computed tomography (DECT) in establishing a diagnosis. European journal of rheumatology. 2019; 6: 216-8.
  • 6. Antonelli MJ and Magrey M. Sacroiliitis mimics: a case report and review of the literature. BMC musculoskeletal disorders. 2017; 18: 170.
  • 7. Slobodin G, Hussein H, Rosner I and Eshed I. Sacroiliitis - early diagnosis is key. Journal of inflammation research. 2018; 11: 339-44.
  • 8. Escudero R, Almodovar R, Zarco P, et al. Inflammatory back pain in a 44 year old male. Reumatologia clinica. 2015; 11: 325-7.
  • 9. Lumezanu E, Konatalapalli R and Weinstein A. Axial (spinal) gout. Current rheumatology reports. 2012; 14: 161-4.
  • 10. Lu F, Jiang J, Zhang F, Xia X, Wang L and Ma X. Lumbar spinal stenosis induced by rare chronic tophaceous gout in a 29-year-old man. Orthopedics. 2012; 35: e1571-5.
  • 11. Abhishek A, Roddy E and Doherty M. Gout - a guide for the general and acute physicians. Clinical medicine (London, England). 2017; 17: 54-9.
  • 12. Hasegawa EM, de Mello FM, Goldenstein-Schainberg C and Fuller R. Gout in the spine. Revista brasileira de reumatologia. 2013; 53: 296-302.
  • 13. AlarcÓN-Segovia D, Cetina JA and DÍAz-Jouanen E. SACROILIAC JOINTS IN PRIMARY GOUT. American Journal of Roentgenology. 1973; 118: 438-43.
  • 14. Yamanaka H. Gout and hyperuricemia in young people. Current opinion in rheumatology. 2011; 23: 156-60.
  • 15. JAIN N, DUGGAL L and GUPTA D. Gouty polyarthritis with sacroiliitis: a rare association and insight into newer management and dietary strategies. International Journal of Rheumatic Diseases. 2008; 11: 195-8.

Kronik tofüslü gut ve sakroiliit birlikteliği: bir olgu sunumu

Year 2021, , 840 - 843, 30.06.2021
https://doi.org/10.17826/cumj.839109

Abstract

Sakroiliitin en sık nedeni spondiloartritler(SpA) olsa da travma, enfeksiyon, maligniteler ve kristal artropatilerde de görülebilir. Axial iskelet tutulumu süregen gutta beklense de sakroiliak eklem bölgesinde tutulum daha da nadirdir. Gut ilişkili sakroiliit için beklenen yaş aralığı 45-80 olmakla beraber 40 yaşın altında oldukça nadirdir. Sunduğumuz olgu literatürdeki en genç olgu olmakla beraber sakroiliit etiyolojisinde SpA dışındaki nedenleri hatırlatması açısından önemlidir.

References

  • 1. Dalbeth N, Merriman TR and Stamp LK. Gout. Lancet (London, England). 2016; 388: 2039-52.
  • 2. Chhana A, Pool B, Wei Y, et al. Human Cartilage Homogenates Influence the Crystallization of Monosodium Urate and Inflammatory Response to Monosodium Urate Crystals: A Potential Link Between Osteoarthritis and Gout. Arthritis & rheumatology (Hoboken, NJ). 2019; 71: 2090-9.
  • 3. Martillo MA, Nazzal L and Crittenden DB. The crystallization of monosodium urate. Current rheumatology reports. 2014; 16: 400.
  • 4. Chen W, Wang Y, Li Y, et al. Gout mimicking spondyloarthritis: case report and literature review. Journal of pain research. 2017; 10: 1511-4.
  • 5. Namas R, Hegazin SB, Memişoğlu E and Joshi A. Lower back pain as a manifestation of acute gouty sacroiliitis: Utilization of dual-energy computed tomography (DECT) in establishing a diagnosis. European journal of rheumatology. 2019; 6: 216-8.
  • 6. Antonelli MJ and Magrey M. Sacroiliitis mimics: a case report and review of the literature. BMC musculoskeletal disorders. 2017; 18: 170.
  • 7. Slobodin G, Hussein H, Rosner I and Eshed I. Sacroiliitis - early diagnosis is key. Journal of inflammation research. 2018; 11: 339-44.
  • 8. Escudero R, Almodovar R, Zarco P, et al. Inflammatory back pain in a 44 year old male. Reumatologia clinica. 2015; 11: 325-7.
  • 9. Lumezanu E, Konatalapalli R and Weinstein A. Axial (spinal) gout. Current rheumatology reports. 2012; 14: 161-4.
  • 10. Lu F, Jiang J, Zhang F, Xia X, Wang L and Ma X. Lumbar spinal stenosis induced by rare chronic tophaceous gout in a 29-year-old man. Orthopedics. 2012; 35: e1571-5.
  • 11. Abhishek A, Roddy E and Doherty M. Gout - a guide for the general and acute physicians. Clinical medicine (London, England). 2017; 17: 54-9.
  • 12. Hasegawa EM, de Mello FM, Goldenstein-Schainberg C and Fuller R. Gout in the spine. Revista brasileira de reumatologia. 2013; 53: 296-302.
  • 13. AlarcÓN-Segovia D, Cetina JA and DÍAz-Jouanen E. SACROILIAC JOINTS IN PRIMARY GOUT. American Journal of Roentgenology. 1973; 118: 438-43.
  • 14. Yamanaka H. Gout and hyperuricemia in young people. Current opinion in rheumatology. 2011; 23: 156-60.
  • 15. JAIN N, DUGGAL L and GUPTA D. Gouty polyarthritis with sacroiliitis: a rare association and insight into newer management and dietary strategies. International Journal of Rheumatic Diseases. 2008; 11: 195-8.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Rheumatology and Arthritis
Journal Section Case Report
Authors

Neşe Merve Karataş 0000-0002-3052-5153

İpek Türk 0000-0001-5192-9045

Publication Date June 30, 2021
Acceptance Date February 26, 2021
Published in Issue Year 2021

Cite

MLA Karataş, Neşe Merve and İpek Türk. “Kronik tofüslü Gut Ve Sakroiliit birlikteliği: Bir Olgu Sunumu”. Cukurova Medical Journal, vol. 46, no. 2, 2021, pp. 840-3, doi:10.17826/cumj.839109.