TY - JOUR T1 - Back Pain Due to Lumbar Gouty Flare — A Prospective Diagnosis JF - The Journal of Rheumatology JO - J Rheumatol SP - 1459 LP - 1460 DO - 10.3899/jrheum.130152 VL - 40 IS - 8 AU - MARIANO ANDRÉS AU - PALOMA VELA AU - LUCIAN CRISTIAN VOLAR AU - YANNE AVILÉS AU - ELISEO PASCUAL Y1 - 2013/08/01 UR - http://www.jrheum.org/content/40/8/1459.abstract N2 - To the Editor:We read with interest the article by Konatalapalli, et al1. The authors described a computed tomographic (CT) study to assess the prevalence of spinal tophi or characteristic erosions (which also result from tophi2) in patients with gout. The prevalence was rather high (around 35%), even higher than the rate previously reported by these authors in The Journal3. As discussed, several factors may have influenced these results; the spine might be prone to monosodium urate (MSU) crystal deposition, because the spine is a common location for osteoarthritis4, and a predilection for osteoarthritic joints has been shown in gout5.Clinical presentations of gout essentially relate to joint inflammation or either palpable tophi or problems related to them in different locations6. Our knowledge about gouty spinal inflammation remains … Address correspondence to Dr. M. Andrés, Hospital General Universitario de Alicante, Seccion de Reumatologia, Pintor Baeza 12, Alicante 03010, Spain. E-mail: drmarianoandres{at}gmail.com. ER -