Atypical musculoskeletal manifestations of gout in hyperuricemia patients

Deposition of tophus is a common feature in chronic gout; however, signs and symptoms are not always well-pronounced in cases of uncommon sites. We report a case series of three patients, one with an acute locked knee suspected to be meniscus tear or intra-articular loose body, a second case with a...

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Bibliographic Details
Published in:Open access rheumatology: research and reviews 2019-01, Vol.11, p.47-52
Main Authors: Sakti, Muhammad, Usman, Muhammad Andry, Lee, Jansen, Benjamin, Michael, Maulidiah, Qariah
Format: Article
Language:English
Subjects:
Arthritis
Carpal Tunnel
Carpal tunnel syndrome
Case Series
Collaboration
Epidemiology
Family medical history
Gout
Kidney diseases
Knee
Laboratories
Orthopedics
Outpatient care facilities
Patients
Rasburicase
Rheumatism
Skin
Tendinitis
Tendon
Ultrasonic imaging
Uric acid
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Description
Summary:Deposition of tophus is a common feature in chronic gout; however, signs and symptoms are not always well-pronounced in cases of uncommon sites. We report a case series of three patients, one with an acute locked knee suspected to be meniscus tear or intra-articular loose body, a second case with a lump on the dorsal hand suspected to be a benign lesion, and a third case with a finger flexion deformity with carpal tunnel syndrome; all three cases were later on found out to be tophaceous gout. White chalky monosodium urate crystal deposition was found to be the culprit of the symptoms of the patients.
ISSN:1179-156X
1179-156X
DOI:10.2147/OARRR.S192369