Abstract
It is well known that deposits of urates in soft tissues occur commonly in gout, particularly in para-articular areas and in articular cartilages of the limbs. Involvement of the spine and sacro-iliac joints by such deposits, however, has been regarded as being relatively unusual and has attracted little attention in the literature. As we were impressed by the frequency of episodes of acute back pain in our patients with gouty arthritis, established definitely on clinical and biochemical grounds, we undertook a radiological investigation of the spine and sacro-iliac joints in a series of 54 subjects. It was suspected that their episodes of pain were clinical manifestations of gout, and 12 of the group had suffered one or more attacks. Of these 12 subjects, eight were found to have radiological abnormalities. In six subjects, evidence of sacro-iliitis was demonstrated, which is comparable to the report of Resnick and Reinke [8], and in two patients vertebral lesions corresponded to those described by Jaffe [5]. Hyperostotic spondylosis was present in no fewer than 29 of the series. Although lacking histological confirmation of the lesions demonstrated radiologically, we believe that our suspicions have been confirmed.
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Alarcon-Segovia D, Cetina JA, Diaz-Jouanen E (1973) Sacroiliac joints in primary gout. Radium Ther Nucl Med 118:438
Bauer W, Klemperer F (1947) Gout. In Duncan GC (ed) Diseases of metabolism, 2nd edn. WB Saunders, Philadelphia p 611
Cioms Criteria, Rome (1963) In: Kellgren JH, Jeffrey MR, Ball J (eds) Epidimiology of chronic rheumatism. Blackwell, Oxford, p 327
Hall MC, Selin G (1960) Spinal involvement in gout. J Bone Joint Surg 42:341
Jaffe HL (1972) Metabolic, degenerative and inflammatory diseases of bones and joints. Urban and Schwarzenberg. München Berlin Wien, p 498
Lichtenstein, L, Scott HW, Levin MH (1956) Pathologic changes in gout: Survey of eleven necropsied cases. Am J Pathol 32:871
Malawista SE, Seegmiller JE (1965) The affect of pretreatment with colchicine on the inflammatory response to microcrystaline urate: A model for gouty inflammation. Ann Intern Med 62:648
Resnick D, Reinke RT (1975) Early-onset gouty arthritis. Radiology 114:67
Talbott JH, Seegmiller JE, Gout (1967) 3rd edn. Grune and Stratton, New York, p 139
Vinstein AL, Cockerill EM (1972) Involvement of the spine in gout. Radiology 103:311
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Jajié, I. Gout in the spine and sacro-iliac joints: Radiological manifestations. Skeletal Radiol 8, 209–212 (1982). https://doi.org/10.1007/BF00355508
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DOI: https://doi.org/10.1007/BF00355508