Tophaceous Gout of the Patella: A Report of Two Cases

Introduction. Tophaceous gout of the patella is rare and may masquerade as a tumour or tumour-like condition. Cases. We report two patients with gout involving the patella, one complicated by a pathological fracture and the other occurring in a bipartite patella in a young adult. Discussion. Typical...

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Main Authors: Graeme Hopper, Sanjay Gupta, Sarath Bethapudi, David Ritchie, Elaine MacDuff, Ashish Mahendra
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2012/253693
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author Graeme Hopper
Sanjay Gupta
Sarath Bethapudi
David Ritchie
Elaine MacDuff
Ashish Mahendra
author_facet Graeme Hopper
Sanjay Gupta
Sarath Bethapudi
David Ritchie
Elaine MacDuff
Ashish Mahendra
author_sort Graeme Hopper
collection DOAJ
description Introduction. Tophaceous gout of the patella is rare and may masquerade as a tumour or tumour-like condition. Cases. We report two patients with gout involving the patella, one complicated by a pathological fracture and the other occurring in a bipartite patella in a young adult. Discussion. Typical imaging appearances and measurement of serum urate will usually confirm the diagnosis but, occasionally, the serum urate level may be normal in active gout and in such cases, a biopsy will be required. Conclusion. Gout of the patella may masquerade as a tumour or tumour-like condition and it is important to consider gout in the differential diagnosis.
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institution Kabale University
issn 2090-6889
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Rheumatology
spelling doaj-art-e39dc0f219fa4610b898224abb70a7642025-08-20T03:26:31ZengWileyCase Reports in Rheumatology2090-68892090-68972012-01-01201210.1155/2012/253693253693Tophaceous Gout of the Patella: A Report of Two CasesGraeme Hopper0Sanjay Gupta1Sarath Bethapudi2David Ritchie3Elaine MacDuff4Ashish Mahendra5Trauma and Orthopaedics, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UKTrauma and Orthopaedics, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UKRadiology, Glasgow Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UKRadiology, Glasgow Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UKPathology, Glasgow Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UKTrauma and Orthopaedics, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UKIntroduction. Tophaceous gout of the patella is rare and may masquerade as a tumour or tumour-like condition. Cases. We report two patients with gout involving the patella, one complicated by a pathological fracture and the other occurring in a bipartite patella in a young adult. Discussion. Typical imaging appearances and measurement of serum urate will usually confirm the diagnosis but, occasionally, the serum urate level may be normal in active gout and in such cases, a biopsy will be required. Conclusion. Gout of the patella may masquerade as a tumour or tumour-like condition and it is important to consider gout in the differential diagnosis.http://dx.doi.org/10.1155/2012/253693
spellingShingle Graeme Hopper
Sanjay Gupta
Sarath Bethapudi
David Ritchie
Elaine MacDuff
Ashish Mahendra
Tophaceous Gout of the Patella: A Report of Two Cases
Case Reports in Rheumatology
title Tophaceous Gout of the Patella: A Report of Two Cases
title_full Tophaceous Gout of the Patella: A Report of Two Cases
title_fullStr Tophaceous Gout of the Patella: A Report of Two Cases
title_full_unstemmed Tophaceous Gout of the Patella: A Report of Two Cases
title_short Tophaceous Gout of the Patella: A Report of Two Cases
title_sort tophaceous gout of the patella a report of two cases
url http://dx.doi.org/10.1155/2012/253693
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