Tophaceous Gout in the Cervical Spine
スポンサーリンク
概要
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A 58-year-old woman with a three-year progressive history of chronic arthritis, had become disabled due to general malaise and fever. Her laboratory data revealed hyperuricemia and elevated levels of C-reactive protein. Neither rheumatoid factor nor anti-citrullinated peptide antibodies were present. We diagnosed her with tophaceous gout with uric crystalline revealed by the arthrocentesis of the elbow. 99mTc scintigraphy also disclosed a significant uptake in the cervical spine. The CT of the patient's cervical spine revealed significant bone erosion and destruction. We diagnosed the cervical involvement of gout based on the exclusion of infections and sarcoidosis. Rheumatologists should be aware of this rare association.
著者
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Takahashi Hiroki
The First Department of Internal Medicine, Sapporo Medical University School of Medicine
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Suzuki Chisako
The First Department of Internal Medicine, Sapporo Medical University School of Medicine
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Tabeya Tetsuya
The First Department of Internal Medicine, Sapporo Medical University School of Medicine
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Naishiro Yasuyoshi
The First Department of Internal Medicine, Sapporo Medical University School of Medicine
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Yamamoto Hiroyuki
The First Department of Internal Medicine, Sapporo Medical University School of Medicine
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IMAI Kohzoh
Advanced Clinical Research Center, The Institute of Medical Science, The University of Tokyo
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Yamamoto Motohisa
The First Department Of Internal Medicine Sapporo Medical University
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Shinomura Yasuhisa
The First Department of Internal Medicine, Sapporo Medical University
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Yamamoto Motohisa
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Masaki Yoshiharu
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Ishigami Keisuke
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Yajima Hidetaka
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Shimizu Yui
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Obara Mikiko
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Sugaya Toshiaki
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Naishiro Yasuyoshi
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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Suzuki Chisako
The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan
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