Unusual localisation of tophaceous gout

Reber, P. U.; Crevoisier, Xavier; Noesberger, B

doi:10.1007/bf00439058

Cited by 31 publications

(12 citation statements)

References 19 publications

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“…However, other presentations in different joints have been previously reported as secondary gouty arthritis to other disorders. For example, Reber et al reported a case where they discovered the presence of tophi in the patella [7], while Jacobs et al reported another case of a 77-year-old male with gout in the wrist most likely as a cause of medications [8]. In comparison to our case, the patient was medically free and was not taking any kind of over the counter drugs.…”

Section: Discussioncontrasting

confidence: 47%

Unusual Case of Gouty Arthritis of the Second Distal Interphalangeal Joint (Second Toe)

Hegaze

Hamdi

Alqrache

et al. 2020

Cureus

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Gout is one of the most common diseases affecting men globally due to the spread of unhealthy dietary habits, kidney disease, and the use of diuretics. It is characterized as having monosodium crystals depositions in the synovial fluid, which causes an inflammatory response and painful joints. Most of the time, it can be found affecting the first metatarsophalangeal joint or other large joints in concurrence with other disorders. Non-steroidal anti-inflammatory drugs (NSAIDs), colchicine, and steroids have been known to suppress such events in most cases without the need for any surgical intervention. We present a case of a 44-years-old medically free healthy male who presented with a case of gouty arthritis in the second distal interphalangeal joint. Initially, colchicine treatment was given along with NSAIDs, but symptoms failed to subside. After a persistent increase of swelling and pain, the surgical evacuation was sought to reduce the pain and exclude any other causes of arthritis. Histopathology report confirmed the presence of monosodium urate crystals without any signs of infection. In conclusion, surgical intervention of gouty arthritis can be beneficial in cases of persistent pain and increasing rate of swelling despite the medicinal trial, especially in unusual cases of gouty arthritis such as gout of the second metatarsophalangeal joint.

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Section: Discussioncontrasting

confidence: 47%

Unusual Case of Gouty Arthritis of the Second Distal Interphalangeal Joint (Second Toe)

Hegaze

Hamdi

Alqrache

et al. 2020

Cureus

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“…However, painful bipartite patella is occasionally observed in adolescents and young adults, especially those who regularly participate in strenuous sports [1,3,8,12,[16][17][18][19]25]. In adults, this condition sometimes becomes painful following either minor [4,10,21] or major injury, such as acutely displaced fracture of the bipartite patella [5,11] or in patients with gout tophus in the bipartite patella [13,14,22,24]. Although most patients usually respond to conservative treatment, including rest and restriction of sports activities, surgical treatment is occasionally considered for patients who fail to respond to conservative treatments.…”

Section: Introductionmentioning

confidence: 99%

Bone scintigraphy in patients with bipartite patella

Oohashi¹,

Koshino

2007

Knee Surg Sports Traumatol Arthr

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This study was performed to assess the diagnostic value of bone scintigraphy to differentiate symptomatic bipartite patella from asymptomatic bipartite patella. Thirty-seven bipartite patellae (15 symptomatic and 22 asymptomatic) were evaluated by bone scintigraphy. Bone scintigraphic activity in bipartite patella was classified into the following four groups. Group A: Eleven bipartite patellae (10 symptomatic and 1 asymptomatic) demonstrated physiological and marked uptake at the epiphysio-metaphysial junction of the distal femur in bone scintiscans. Therefore, high scintigraphic uptake in the bipartite patella was difficult to distinguish from such uptake due to overlap. Group B: Five bipartite patellae (4 symptomatic and 1 asymptomatic) demonstrated both physiologically high scintigraphic uptake at the epiphysio-metaphysial junction of the distal femur and high scintigraphic uptake in the bipartite patella. Group C: Seventeen bipartite patellae (1 symptomatic and 16 asymptomatic) demonstrated abnormally high scintigraphic uptake in the bipartite patella. Group D: Four asymptomatic bipartite patellae did not demonstrate an abnormally high scintigraphic uptake. After excluding Group A, the proportion of positive bone scans in bipartite patella was 84.6% (22 of 26 patellae). Similarly, after excluding Group A, the proportion of positive bone scans in symptomatic bipartite patella was 100% (5 of 5 patellae) and in asymptomatic bipartite patella 81.0% (17 of 21 patellae). Statistical analysis using Fisher's exact test showed no significant differences in the proportion of positive bone scans between both groups (P = 0.5457). In conclusion, abnormally high scintigraphic uptake is frequent findings in both symptomatic and asymptomatic bipartite patella, and bone scintigraphy is not useful to differentiate between them. Therefore, surgical treatment should not be considered based only on scintigraphic findings.

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“…There are a multitude of joints that can be impacted in patients with gout. More specifically, patients commonly develop tophaceous gout in cartilage, articular areas, sheaths of tendons, within subcutaneous layers, and in synovial spaces [5] . Gout presenting in the acromioclavicular joint is relatively rare.…”

Section: Discussionmentioning

confidence: 99%