Chronic Polyarticular Gout at Unusual Sites: A Rare Case

Abstract

A 59-year-old male presented to the orthopaedics department with complaints of pain and swelling in the right knee for one week. The pain was insidious in onset with gradual progression, dull aching, non-radiating, and aggravated on weight bearing and knee movements with no relieving factors. The patient also had a similar history of pain and swelling in both knee joints on and off for the past three years. The patient also gave a history of pain in the neck region radiating to both upper limbs for the past two months. The patient was not a known hypertensive, diabetic, not a smoker or alcoholic. The patient consumed a vegetarian diet. The medical history of the patient revealed chronic gout for four years, diagnosed elsewhere and the patient was on intermittent treatment with allopurinol. The general examination of the patient was unremarkable.

Keywords

• atlantoaxial joint
• chronic tophaceous gout
• subchondral cysts