Tophaceous gout of the axial skeleton.
A 72-year-old female with a recent episode of podagra, without peripheral tophi, presented with nocturnal back pain and a destructive lesion of the right lamina of L4. A tophus was excised at laminectomy. Evidence of an axial skeletal tophus causing an irritative radiculopathy via mass effect is presented.
Arnold
M H
MH
Department of Rheumatology, Royal North Shore Hospital of Sydney.
Brooks
P M
PM
Savvas
P
P
Ruff
S
S
D000368:Aged; D001416:Back Pain / Q000209:etiology; D005260:Female; D006073:Gout / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000473:pathology*