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See Latest ArticlesAxial gouty arthropathy
The American Journal of the Medical Sciences, 08/26/09
Saketkoo LA et al. – Gout should be considered in the DDx of back-related presentations in patients at high risk for gout
Methods- 52 cases of gouty involvement of the spinal column are presented
- Several years elaspe before bony destruction is radiologically apparent
- If erosive or tophaceous gout is present, MRI enhancement offers diagnostic guidance
- Non-tophaceous gout of the spine may also show signal enhancement consistent with inflammation
- In some cases, medical therapy alone can reverse the findings of radiculopathy
- HTN, DM, and atherosclerotic disease are risk factors for gout and hyperuricemia
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