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 1022-5536Full text not available from this repository.
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.
|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:||18 Mar 2011 09:56|
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