title: Acute gout involving the acromioclavicular joint following treatment with gemfibrozil.
abstract: Gout affecting the acromioclavicular joint is extremely rare. We describe a case of acute gout involving the acromioclavicular joint in a patient with seronegative spondyloarthropathy, following use of the fibric acid derivative, gemfibrozil. This case broadens the differential diagnosis of acute acromioclavicular joint arthritis; further studies are needed to determine if there is a causal relationship between use of gemfibrozil and an acute attack of gout.
authors.affiliation: Department of Internal Medicine, University of California Davis Medical Center 95817.
authors.forename: D
authors.initials: D
authors.lastname: Miller-Blair
authors.forename: R
authors.initials: R
authors.lastname: White
authors.forename: A
authors.initials: A
authors.lastname: Greenspan
mesh_terms: D000173:Acromioclavicular Joint; D000208:Acute Disease; D000328:Adult; D005260:Female; D015248:Gemfibrozil / Q000009:adverse effects*; D006073:Gout / Q000139:chemically induced*; D006801:Humans; D013122:Spinal Diseases / Q000188:drug therapy
chemical_list: D015248:Gemfibrozil