title: [Gout in the spine: a rare presentation of a common disorder].
abstract: A 92-year old woman was admitted to the geriatric department because of a confusional state due to a urinary tract infection, a severe dermatitis and gout. An incomplete tetraplegia was found on physical examination. Radiological examination showed a large gouty tophus causing spinal cord compression and destruction of the dens. Gouty involvement of the spine is a less common complication of the disease. Optimal treatment of gout is important to prevent the development of such severe complications.
authors.affiliation: Amphia Ziekenhuis Breda, Molengracht 21, 4818 CK, Breda, Nederland.
authors.forename: Mechtild M J F
authors.initials: MM
authors.lastname: Wijdeveld
authors.affiliation: Amphia Ziekenhuis Breda, Molengracht 21, 4818 CK, Breda, Nederland. dulve@hotmail.com.
authors.forename: Iris C
authors.initials: IC
authors.lastname: Jobse
authors.affiliation: Amphia Ziekenhuis Breda, Molengracht 21, 4818 CK, Breda, Nederland.
authors.forename: Jonneke I
authors.initials: JI
authors.lastname: Eikelboom
mesh_terms: D000369:Aged, 80 and over; D002574:Cervical Vertebrae / Q000473:pathology; D005260:Female; D006073:Gout / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D013117:Spinal Cord Compression / Q000175:diagnosis* / Q000209:etiology
keywords: Arthritis; Gouty; Hyperuricemia; Paralysis