Gouty arthritis in the manubriosternal joint

Abstract

No transmission risk was found except for spinal surgery one year before the symptoms and signs of the disease began. She had not received any blood, and there was no abnormality in the liver function tests during her follow up.We found no significant diVerence between healthy population and SLE patients in terms of prevalence of anti-HCV (p>0.05). In the medical literature, we could not find any study about the prevalence of anti-HCV in SLE patients. However, Michel et al 10 in their study about anti-GOR and HCV in autoimmune liver diseases have reported no anti-HCV in 10 SLE patients.Our results showed that the prevalence of the anti-HCV in patients with SLE was not higher than that of the general population, and the relation between HCV and SLE could not be established.

Tophaceous gout of the first costochondral junction in a heart transplant patient

“…Acute attacks of manubriosternal joint gout have been previously described [18,19], and gout has been reported in the sternoclavicular joint [20]. To our knowledge, however, this is the first reported case in the English literature of gout at the costochondral junction.…”

Misdiagnosis of a chylous cyst as chest wall gouty tophus: A case of true pseudogout

“…Gout is best diagnosed when negatively birefringent, needle‐shaped monosodium urate crystals are viewed using polarized light microscopy. Gout may involve the chest wall by affecting sternoclavicular (14, 15), costochondral (14), or manubriosternal (16, 17) articulations. Subcutaneous tophus formation by crystal deposition is rare in other conditions except gout.…”

Manubriosternal joint: imaging features of normal anatomy and arthritis

“…The manubriosternal joint is a rare site of gouty attacks. 15,16 However, abnormalities in this joint are relatively common among patients with gout and were seen in 11 of 20 patients. 7 Although gouty tophus may occur in the sternum, the fi ndings are rather nonspecifi c⎯irregular and narrow joint space, subchondral sclerosis, osteophyte-all consistent with degenerative change.…”