Unusual clinical presentations of gout.

Published

Journal Article (Review)

PURPOSE OF REVIEW: The dogmatic description of gout is described as an inflammatory crystal-induced arthropathy that afflicts peripheral joints. This manuscript describes many recent cases and unusual clinical presentations of gout. Emphasis is placed on the ability of gout to cause diagnostic dilemmas that can impact patient treatment and care. RECENT FINDINGS: Various genetic mutations can predispose patients in developing early onset gout. Environmental exposures, medications, and certain patient populations can affect pathophysiology of uric acid, predisposing patients both typical and atypical manifestations of gout. Numerous reports have described gout deposition in unusual parts of the body, which can mimic unrelated disease processes. SUMMARY: Although classic gout is still most commonly seen, the disease can manifest as with a wide array of presentations. It is likely that such atypical presentations are a result of a complexity of reasons. When presented with a diagnostic challenge in a patient with gout, the clinician should be aware of unusual manifestations of gout and consider it in the differential.

Full Text

Duke Authors

Cited Authors

  • Ning, TC; Keenan, RT

Published Date

  • March 2010

Published In

Volume / Issue

  • 22 / 2

Start / End Page

  • 181 - 187

PubMed ID

  • 20035224

Pubmed Central ID

  • 20035224

Electronic International Standard Serial Number (EISSN)

  • 1531-6963

Digital Object Identifier (DOI)

  • 10.1097/BOR.0b013e3283361ac0

Language

  • eng

Conference Location

  • United States