Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report.

Wazir, N.N.; Moorthy, V.; Amalourde, A.; 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

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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
Journal or Publication Title: Journal of orthopaedic surgery (Hong Kong)
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 09:56
Last Modified: 20 Oct 2014 11:35
URI: http://eprints.um.edu.my/id/eprint/540

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