Chronic tophaceous gout presenting as acute arthritis during an acute illness: a case report
2008
Chronic Tophaceous Gout Presenting as Acute Arthritis: A Case Report
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Dhoble Abhijeet, Balakrishnan Vijay, Smith Robert
Primary Institution: Michigan State University
Conclusion
Gout usually flares up during an acute illness and can present with tophi as an initial manifestation.
Supporting Evidence
- The patient developed acute arthritis during hospitalization for diverticulitis.
- Diagnostic arthrocentesis revealed monosodium urate crystals.
- The patient responded to treatment with indomethacin after partial relief with colchicine.
Takeaway
A man had a sudden pain in his elbow, and doctors found out he had a type of gout that showed up in a strange way. They treated him with medicine, and he felt better.
Methodology
The patient was treated with colchicine and indomethacin after being diagnosed with gout through physical examination and synovial fluid analysis.
Limitations
The case report is based on a single patient, limiting generalizability.
Participant Demographics
39-year-old African American male.
Digital Object Identifier (DOI)
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