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Artigo Acesso aberto Produção Nacional
BIBTEX RIS

Gout in the spine

2013; Elsevier BV; Volume: 53; Issue: 3 Linguagem: Inglês

10.1016/s2255-5021(13)70036-1

ISSN

2255-5021

Autores

Eduardo Massato Hasegawa, Filipe Martins de Mello, Cláudia Goldenstein‐Schainberg, Ricardo Fuller,

Tópico(s)

Spondyloarthritis Studies and Treatments

Resumo

Axial gout can affect all segments of the spine. It is manifested as back pain, as pain associated with neurological symptoms, and as neurological impairment without pain in 17.9%, 75.8% and 4.2% of cases, respectively. These manifestations were the first presentation of gout in many patients. Although x-rays as well as computed tomography and especially magnetic resonance scans can be very suggestive, histopathological, cytological and crystal analyses are the diagnostic gold standard. In most cases involving neurological manifestations, the patient underwent surgery, leading to satisfactory results. There are, however, some reports of full recovery following the usual clinical treatment for gout, suggesting that such treatment may be the initial option for those subjects with a history of gout and radiological findings of axial involvement.

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