title: Tophaceous gout in the cervical spine.
abstract: A 58-year-old woman with a three-year progressive history of chronic arthritis, had become disabled due to general malaise and fever. Her laboratory data revealed hyperuricemia and elevated levels of C-reactive protein. Neither rheumatoid factor nor anti-citrullinated peptide antibodies were present. We diagnosed her with tophaceous gout with uric crystalline revealed by the arthrocentesis of the elbow. (99m)Tc scintigraphy also disclosed a significant uptake in the cervical spine. The CT of the patient's cervical spine revealed significant bone erosion and destruction. We diagnosed the cervical involvement of gout based on the exclusion of infections and sarcoidosis. Rheumatologists should be aware of this rare association.
authors.affiliation: The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan. mocha@cocoa.plala.or.jp
authors.forename: Motohisa
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tabeya
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Masaki
authors.forename: Chisako
authors.initials: C
authors.lastname: Suzuki
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Naishiro
authors.forename: Keisuke
authors.initials: K
authors.lastname: Ishigami
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Yajima
authors.forename: Yui
authors.initials: Y
authors.lastname: Shimizu
authors.forename: Mikiko
authors.initials: M
authors.lastname: Obara
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Sugaya
authors.forename: Hiroki
authors.initials: H
authors.lastname: Takahashi
authors.forename: Kohzoh
authors.initials: K
authors.lastname: Imai
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Shinomura
mesh_terms: D002574:Cervical Vertebrae / Q000000981:diagnostic imaging*; D005260:Female; D006073:Gout / Q000000981:diagnostic imaging* / Q000378:metabolism; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D013122:Spinal Diseases / Q000000981:diagnostic imaging* / Q000378:metabolism