Tophaceous gout in the cervical spine.
Gout is a common metabolic disorder typically affecting the distal joints of the appendicular skeleton. Involvement of the axial skeleton, particularly the facet joints and posterior column of the cervical spine, is rare. This case report highlights such a presentation in a 76-year old female who presented with cervical spine pain following a fall. Her radiological findings were suggestive of a destructive metastatic process. Histological diagnosis confirmed tophaceous gout.
Cabot
Jonathan
J
Department of Orthopaedic Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia, 5000.
Mosel
Leigh
L
Kong
Andrew
A
Hayward
Mike
M
D000368:Aged; D002574:Cervical Vertebrae; D005260:Female; D006073:Gout / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D006801:Humans; D011859:Radiography; D025241:Spondylarthritis / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000628:therapy; D021801:Zygapophyseal Joint