KMID : 0388220090160040318
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Journal of the Korean Rheumatism Association 2009 Volume.16 No. 4 p.318 ~ p.322
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A Case of the Lumbar Spine Involvement and Sacroiliitis in a Patient with Gout
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Bane So-Young
Jeong Jong-Heon Joo Kyung-Bin
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Abstract
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Although gout often initially affects the peripheral joints, gout may also involve the axial joints. The radiologic changes of axial gout are more common than are clinically recognized. According to a recent report, when the spine CT images of peripheral gout were reviewed for features of axial gout, there was about a 14% frequency of suspected axial gout. The vertebral level and the finding with the most common spinal gouty changes were L4 and lumbar facet joint erosions. We describe here the case of a 36-year-old gout patient with low back and right buttock pain and his lesions were unexpectedly diagnostic of lumbar facet joint arthritis and right sacroiliitis.
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KEYWORD
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Gout, Spine, Sacroiliac joint, Computed tomography, Magnetic resonance imaging
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