A Case of the Lumbar Spine Involvement and Sacroiliitis in a Patient with Gout.
10.4078/jkra.2009.16.4.318
- Author:
So Young BANG
1
;
Jong Heon JEONG
;
Kyung Bin JOO
;
Jae Bum JUN
;
Yoon Kyoung SUNG
Author Information
1. Department of Rheumatology, Hospital for Rheumatic Disease, Hanyang University College of Medicine, Seoul, Korea. sungyk@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Gout;
Spine;
Sacroiliac joint;
Computed tomography;
Magnetic resonance imaging
- MeSH:
Adult;
Arthritis;
Buttocks;
Gout;
Humans;
Joints;
Magnetic Resonance Imaging;
Sacroiliac Joint;
Sacroiliitis;
Spine;
Zygapophyseal Joint
- From:The Journal of the Korean Rheumatism Association
2009;16(4):318-322
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although gout often initially affects the peripheral joints, gout may also involve the axial joints. The radiologic changes of axial gout are more common than are clinically recognized. According to a recent report, when the spine CT images of peripheral gout were reviewed for features of axial gout, there was about a 14% frequency of suspected axial gout. The vertebral level and the finding with the most common spinal gouty changes were L4 and lumbar facet joint erosions. We describe here the case of a 36-year-old gout patient with low back and right buttock pain and his lesions were unexpectedly diagnostic of lumbar facet joint arthritis and right sacroiliitis.