Spinal involvement in gout simulating spondyloarthritis (clinical case)
The article presents a case of the lumbar spine involvement in a 37-year-old patient with gout who was observed for several years with a diagnosis of spondyloarthritis. Spinal involvement in the context of gout was confirmed by dual-energy computed tomography. This is a relatively new method for the...
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| Format: | Article |
| Language: | Russian |
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IMA-PRESS LLC
2024-02-01
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| Series: | Современная ревматология |
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| Online Access: | https://mrj.ima-press.net/mrj/article/view/1537 |
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| author | Y. I. Kuzmina M. S. Eliseev |
| author_facet | Y. I. Kuzmina M. S. Eliseev |
| author_sort | Y. I. Kuzmina |
| collection | DOAJ |
| description | The article presents a case of the lumbar spine involvement in a 37-year-old patient with gout who was observed for several years with a diagnosis of spondyloarthritis. Spinal involvement in the context of gout was confirmed by dual-energy computed tomography. This is a relatively new method for the diagnosis of microcrystalline arthritis, which makes it possible to detect urate deposits in the atypical course of the disease, especially when the axial skeleton is affected. We demonstrate the advantages of the modern gout treatment strategy of achieving and maintaining target uric acid levels by prescribing appropriate doses of xanthine oxidase inhibitors (febuxostat at a dose of 120 mg/day) while preventing arthritis flares (low-dose colchicine). |
| format | Article |
| id | doaj-art-bdebb89dd3674557be79e0cdc52dbdbb |
| institution | Kabale University |
| issn | 1996-7012 2310-158X |
| language | Russian |
| publishDate | 2024-02-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Современная ревматология |
| spelling | doaj-art-bdebb89dd3674557be79e0cdc52dbdbb2025-08-20T03:59:56ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2024-02-01181909410.14412/1996-7012-2024-1-90-942660Spinal involvement in gout simulating spondyloarthritis (clinical case)Y. I. Kuzmina0M. S. Eliseev1V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyThe article presents a case of the lumbar spine involvement in a 37-year-old patient with gout who was observed for several years with a diagnosis of spondyloarthritis. Spinal involvement in the context of gout was confirmed by dual-energy computed tomography. This is a relatively new method for the diagnosis of microcrystalline arthritis, which makes it possible to detect urate deposits in the atypical course of the disease, especially when the axial skeleton is affected. We demonstrate the advantages of the modern gout treatment strategy of achieving and maintaining target uric acid levels by prescribing appropriate doses of xanthine oxidase inhibitors (febuxostat at a dose of 120 mg/day) while preventing arthritis flares (low-dose colchicine).https://mrj.ima-press.net/mrj/article/view/1537goutspinal involvement in goutspondyloarthritisfebuxostatdual-energy computed tomography |
| spellingShingle | Y. I. Kuzmina M. S. Eliseev Spinal involvement in gout simulating spondyloarthritis (clinical case) Современная ревматология gout spinal involvement in gout spondyloarthritis febuxostat dual-energy computed tomography |
| title | Spinal involvement in gout simulating spondyloarthritis (clinical case) |
| title_full | Spinal involvement in gout simulating spondyloarthritis (clinical case) |
| title_fullStr | Spinal involvement in gout simulating spondyloarthritis (clinical case) |
| title_full_unstemmed | Spinal involvement in gout simulating spondyloarthritis (clinical case) |
| title_short | Spinal involvement in gout simulating spondyloarthritis (clinical case) |
| title_sort | spinal involvement in gout simulating spondyloarthritis clinical case |
| topic | gout spinal involvement in gout spondyloarthritis febuxostat dual-energy computed tomography |
| url | https://mrj.ima-press.net/mrj/article/view/1537 |
| work_keys_str_mv | AT yikuzmina spinalinvolvementingoutsimulatingspondyloarthritisclinicalcase AT mseliseev spinalinvolvementingoutsimulatingspondyloarthritisclinicalcase |