L'encéphalopathie goutteuse: mythe ou réalité ?

Alla, P.; Carli, P.; Cellarier, Gilles; Paris, J.F.; Chagnon, A.

doi:10.1016/s0248-8663(97)80619-4

Cited by 4 publications

(2 citation statements)

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“…Previously described cases involved either severe polyarticular gout involving the larger joints of the body, or gout arising in particularly susceptible individuals (demented, male and elderly) 4–6. Our case, like the other reported cases, demonstrates clinical resolution with adequate treatment targeting an acute gout flare.…”

Section: Discussionsupporting

confidence: 58%

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Polyarticular arthropathy and encephalopathy in a 70-year-old woman

Lewis¹,

Skiba

Gabbay

2018

BMJ Case Rep

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A 70-year-old woman with a background of portopulmonary hypertension, managed with sildenafil and oral diuretics, and cirrhosis, presented with acute on chronic haemorrhoidal bleeding, iron deficiency anaemia and worsening right heart failure. She presented in a normal conscious and cognitive state. Management involved intravenous diuresis with frusemide and blood transfusion. She quickly begun to develop fever, severe polyarticular arthropathy and progressive encephalopathy. Analgesia was started and antibiotics administered for potential septic sources. Extensive investigations, including full septic screen and neurological imaging, revealed no explainable aetiology for her precipitous decline. She continued to have febrile episodes, worsening polyarticular arthropathy and progressive encephalopathy eventually becoming unresponsive. Given the severe polyarticular arthropathy knee aspiration was performed. Urate crystals were identified and intravenous hydrocortisone and colchicine were started. Within 2 days she achieved full resolution of her systemic, musculoskeletal and neurological symptoms. We propose this as a rare case of gout-induced encephalopathy.

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Section: Discussionsupporting

confidence: 58%

“…Gout-induced encephalopathy is a very rare phenomenon with a limited number of case reports. To our knowledge, this would only be the fourth proposed case in the literature 4–6…”

Section: Discussionmentioning

confidence: 91%

Polyarticular arthropathy and encephalopathy in a 70-year-old woman

Lewis¹,

Skiba

Gabbay

2018

BMJ Case Rep

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A multifaceted case

Kara

McQuillan

Dhaliwal

2013

Journal of Hospital Medicine

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The approach to clinical conundrums by an expert clinician is revealed through the presentation of an actual patient's case in an approach typical of a morning report. Similarly to patient care, sequential pieces of information are provided to the clinician, who is unfamiliar with the case. The focus is on the thought processes of both the clinical team caring for the patient and the discussant. This icon represents the patient's case. Each paragraph that follows represents the discussant's thoughts.

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