Wazir, N.N. and Moorthy, V. and Amalourde, A. and Lim, H.H. (2005) Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. Journal of orthopaedic surgery (Hong Kong), 13 (2). pp. 203-6. ISSN 1022-5536, DOI 16131689.
Full text not available from this repository.Abstract
This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resulting in joint instability, subluxation, and neurological deficit. A 66-year-old obese woman who had a polyarticular disease for the previous 3 years presented with neck pain and progressive neurology. A 2-stage procedure was performed: posterior decompression and occipitocervical fusion followed by further anterior trans-oral decompression. However, after an initial neurological improvement, she succumbed to aspirational pneumonia and septicaemia. Atlanto-axial subluxation caused by gouty arthritis can present in the same way as rheumatoid arthritis. Therefore, the possibility of this as a differential diagnosis should be kept in mind.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Additional Information: | Department of Orthopaedic surgery, University Malaya Medical Centre |
| Uncontrolled Keywords: | Aged; Arthritis, Gouty/complications; |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Science |
| Depositing User: | Mr. Faizal Hamzah |
| Date Deposited: | 18 Mar 2011 01:56 |
| Last Modified: | 20 Oct 2014 03:35 |
| URI: | http://eprints.um.edu.my/id/eprint/540 |
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