title: A 31-year-old Army specialist presenting with acute oligoarthritis.
abstract: A 31-year-old Army specialist was evaluated at Walter Reed Army Medical Center for an acute attack of arthritis in the left hand. After an initial evaluation, the patient was referred to the rheumatology service, and gout was diagnosed on the basis of synovial fluid analysis. This case demonstrates an uncommon presentation of a common disorder in an active duty soldier. The discussions presented following the clinical data are meant to expand diagnostic considerations for patients with similar symptoms, to address risk factors for gout relevant to the military, and to clarify the management of gout.
authors.affiliation: Department of Rheumatology, National Naval Medical Center, Bethesda, MD 20889, USA.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Keith
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Roebuck
mesh_terms: D000208:Acute Disease; D000328:Adult; D000493:Allopurinol / Q000627:therapeutic use; D015210:Arthritis, Gouty / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006074:Gout Suppressants / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008887:Military Medicine; D008889:Military Personnel; D013582:Synovial Fluid; D014481:United States; D014527:Uric Acid / Q000097:blood
chemical_list: D006074:Gout Suppressants; D014527:Uric Acid; D000493:Allopurinol