Tophaceous Gout in the Cervical Spine

被引：10

作者：

Yamamoto, Motohisa ^{[1
]}

Tabeya, Tetsuya ^{[1
]}

Masaki, Yoshiharu ^{[1
]}

Suzuki, Chisako ^{[1
]}

Naishiro, Yasuyoshi ^{[1
]}

Ishigami, Keisuke ^{[1
]}

Yajima, Hidetaka ^{[1
]}

Shimizu, Yui ^{[1
]}

Obara, Mikiko ^{[1
]}

Yamamoto, Hiroyuki ^{[1
]}

Sugaya, Toshiaki ^{[1
]}

Takahashi, Hiroki ^{[1
]}

Imai, Kohzoh ^{[2
]}

Shinomura, Yasuhisa ^{[1
]}

机构：

[1] Sapporo Med Univ, Sch Med, Dept Internal Med 1, Sapporo, Hokkaido, Japan

[2] Univ Tokyo, Inst Med Sci, Adv Clin Res Ctr, Tokyo 1138654, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 03期

关键词：

cervical spine; hyperuricemia; tophaceous gout; CORD COMPRESSION; ARTHRITIS; QUADRIPARESIS;

D O I：

10.2169/internalmedicine.51.6262

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 58-year-old woman with a three-year progressive history of chronic arthritis, had become disabled due to general malaise and fever. Her laboratory data revealed hyperuricemia and elevated levels of C-reactive protein. Neither rheumatoid factor nor anti-citrullinated peptide antibodies were present. We diagnosed her with tophaceous gout with uric crystalline revealed by the arthrocentesis of the elbow. Tc-99m scintigraphy also disclosed a significant uptake in the cervical spine. The CT of the patient's cervical spine revealed significant bone erosion and destruction. We diagnosed the cervical involvement of gout based on the exclusion of infections and sarcoidosis. Rheumatologists should be aware of this rare association.

引用

页码：325 / 328

页数：4

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