Bottom Line
Consider spinal gout in the differential diagnosis of patients with chronic kidney disease, a gout history and tophi presenting with acute back pain.
Jessita Albert Messiah Dhas, MD, is a resident in the Department of Internal Medicine at Geisinger Medical Center, Danville, Pa.
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Erik O’Connell, DO, is rheumatology fellow in the Department of Rheumatology at Geisinger Medical Center, Danville, Pa.
Lisa Schroeder, MD, is an attending physician in the Department of Rheumatology at Geisinger Medical Center, Danville, Pa.
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References
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- Khanna D, Fitzgerald JD, Khanna PP, et al. 2012 American College of Rheumatology guidelines for management of gout. Part 1: Systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care Res (Hoboken). 2012 Oct;64(10):1431–1446.
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