title: [Chronic myeloid leukemia manifesting as gout. Reflections on secondary gout in Black Africa].
abstract: This report describes the case of a 63-year-old obese and alcoholic butcher who suffered two episodes of distal oligoarthritis. These episodes were attributed to gout on the basis of response to colchicine and demonstration of hyperuricemia. Given the presence of hepatomegaly, splenomegaly and hyperleukocytosis, a sternal puncture and myelogram were performed and led to diagnosis of chronic myelogenous leukemia. In addition to the classic predisposing factors for gout, sickle cell anemia could be implicated in Black Africa. Longer life expectancy for patients with sickle cell anemia could increase the incidence of gout in Black Africa.
authors.affiliation: Service de Rhumatologie, Centre Hospitalier Universitaire Tokoin, Lomé, Togo.
authors.forename: M
authors.initials: M
authors.lastname: Mijiyawa
authors.forename: A
authors.initials: A
authors.lastname: Segbena
authors.forename: M
authors.initials: M
authors.lastname: David
mesh_terms: D000349:Africa; D000755:Anemia, Sickle Cell / Q000150:complications; D015984:Causality; D006073:Gout / Q000209:etiology*; D006801:Humans; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D014037:Togo
vernacular_title: Goutte révélatrice d'une leucémie myéloïde chronique. Réflexions sur les gouttes secondaires observeés en Afrique noire.