Cabot Jonathan, Mosel Leigh, Kong Andrew, Hayward Mike
Department of Orthopaedic Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia, 5000.
Skeletal Radiol. 2005 Dec;34(12):803-6. doi: 10.1007/s00256-005-0920-0. Epub 2005 Jul 19.
Gout is a common metabolic disorder typically affecting the distal joints of the appendicular skeleton. Involvement of the axial skeleton, particularly the facet joints and posterior column of the cervical spine, is rare. This case report highlights such a presentation in a 76-year old female who presented with cervical spine pain following a fall. Her radiological findings were suggestive of a destructive metastatic process. Histological diagnosis confirmed tophaceous gout.
痛风是一种常见的代谢紊乱疾病，通常影响四肢骨骼的远端关节。轴向骨骼受累，尤其是颈椎的小关节和后柱，较为罕见。本病例报告重点介绍了一名76岁女性的这种表现，她在跌倒后出现颈椎疼痛。她的影像学检查结果提示有破坏性转移过程。组织学诊断证实为痛风石性痛风。
