title: Reflex sympathetic dystrophy syndrome following acute gouty arthritis.
abstract: The unusual case of reflex sympathetic dystrophy syndrome caused by an acute attack of gout is reported. The syndrome, involving the left ankle and hindfoot, developed twelve days after a classical gouty attack involving the first metatarso-phalangeal joint of the same foot. Diagnosis was based on X-ray and scintigraphic and MRI changes A prompt clinical remission was achieved with a short course of i.v. clodronate.
authors.affiliation: Chair of Rheumatology, University of Milan, Gaetano Pini Institute, Milan, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Zucchi
authors.forename: M
authors.initials: M
authors.lastname: Varenna
authors.forename: L
authors.initials: L
authors.lastname: Binelli
authors.forename: L
authors.initials: L
authors.lastname: Sinigaglia
mesh_terms: D000208:Acute Disease; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D015210:Arthritis, Gouty / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004002:Clodronic Acid / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007262:Infusions, Intravenous; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012074:Remission Induction; D013577:Syndrome
chemical_list: D018712:Analgesics, Non-Narcotic; D004002:Clodronic Acid