Symptomatic hypercalcemia in a patient with chronic tophaceous gout: a case report
2008
Symptomatic Hypercalcemia in a Patient with Gout
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Alok Sachdeva, Bruce E. Goeckeritz, Alyce M. Oliver
Primary Institution: Dept. of Rheumatology, Medical College of Georgia, Augusta, Georgia, USA
Hypothesis
Can gouty tophi induce symptomatic hypercalcemia through granulomatous inflammation?
Conclusion
The case suggests that gouty tophi can lead to symptomatic hypercalcemia due to granulomatous inflammation.
Supporting Evidence
- Hypercalcemia is commonly associated with granulomatous processes.
- Granulomatous inflammation can occur due to gouty tophi.
- Treatment with immunosuppressants and bisphosphonates stabilized serum calcium levels.
Takeaway
A man with gout developed high calcium levels because of inflammation caused by his gouty crystals. Treatment helped him feel better.
Methodology
Case report detailing clinical presentation, diagnostic imaging, laboratory tests, and treatment.
Limitations
Only one case is reported, limiting generalizability.
Participant Demographics
41-year-old Caucasian male with chronic tophaceous gout.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website