CASE REPORT - Coexistent gout and RA

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British Journal of Hospital Medicine, Vol. 66, Iss. 12, 01 Dec 2005,

pp 704 - 705

Coexistent gout and rheumatoid arthritis: a case report

Vitorino Modesto dos Santos, Breno F Cézar, Elber R Barbosa Jr,

Filomena R Gomes Fereira de Oliveira Carvalho

Diseases mimicking rheumatoid arthritis (RA) include chronic

tophaceous gout (CTG), systemic lupus erythematosus, Sjögren's

syndrome, osteoarthritis, psoriasis and pseudogout (Schapira et al,

1999; Ho et al, 2003). There is a negative association between gout

and RA, and their coexistence has been scarcely reported since

Hutchinson's report (1881). RA may precede associated gout, but CTG is

commonly the initial disease. This article reports a case of a

56-year-old man with hypertension, end-stage renal disease and CTG.

Three years later, he fulfilled the diagnosis criteria for RA, with

biopsy findings of rheumatoid nodules. A literature review of data

from eighteen cases describing the coexistence of gout and RA was

performed to better understand the features useful for diagnosis.

Details of the references used can be obtained from the corresponding

author.

http://www.bjhm.co.uk/cgi-bin/go.pl/library/article.cgi?uid=20214;article=hm_66_\

12_704_705

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Not an MD