Tophaceous gout of the thoracic spine presenting as back pain and fever

被引:20
作者
Hausch, R [1 ]
Wilkerson, M [1 ]
Singh, E [1 ]
Reyes, C [1 ]
Harrington, T [1 ]
机构
[1] Geisinger Med Ctr, Danville, PA 17822 USA
关键词
gout; hyperuricemia; spinal tophi;
D O I
10.1097/00124743-199912000-00007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Spinal gout has been reported only rarely. We describe a 59-year-old man with a history of gout, who was receiving chronic immunosuppressive therapy after a renal transplant and who presented with fever and back pain. After an extensive work-up and biopsy, the diagnosis was thoracic tophaceous gout. The pain and fever responded to prednisone and allopurinol. Tophaceous gout is a rare cause of fever and back pain but should be considered in the differential diagnosis in the appropriate clinical setting.
引用
收藏
页码:335 / 341
页数:7
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