Case Report to Detect Gout Mimicking Spondyloarthritis

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Case Report to Detect Gout Mimicking Spondyloarthritis

A recent publication by Wang, et al. has revealed that gout can often mimic spondyloarthritis (SpA) and seldom affects the sacroiliac joint (SIJ). Gout is a metabolic condition characterized by episodes of monoarthritis, which not only affects the peripheral joints but occasionally may also affect the axial joint, such as the sacroiliac joint (SIJ). It often mimics spondyloarthritis (SpA).

Aligned with this agenda, Wang et al., conducted a literature review of two cases of gout, mimicking SpA. In one case, a 32-year-old man had a history of asymmetrical oligoarthritis of ankle and metatarsophalangeal joints (MTPJ). He also experienced pain in his left gluteal for two weeks. He underwent Computed tomography (CT) and magnetic resonance imaging (MRI) which showed the erosion of the bone in the left SIJ. T1-weighted MRI showed hypointense T1 and hyperintense T2 signals of the left SIJ.

In another case, a 24-year-old male patient had pain in his left back area and hip region for four months. He also suffered from intermittent fever for three months and had three years’ history of gout.

Both the patients had gone through CT-guided sacroiliac biopsy, and the polarized microscopy that showed the presence of monosodium urate (MSU) crystals. Thus, indicating that gout can often mimic SpA and seldom affects the SIJ. Therefore, proper diagnosis and adequate therapy of gout can diminish the development of such damaging complications.

Source:

Dove press

Link to the source:

https://www.dovepress.com/gout-mimicking-spondyloarthritis-case-report-and-literature-review-peer-reviewed-article-JPR

Original title of article:

Gout mimicking spondyloarthritis: case report and literature review

Authors

Wenji Chen, Yanyan Wang, et al.

SearchTags: 
Diagnostic, Gout, Spondyloarthritis, Sacroiliac joint
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