Mayo Clinic, Rochester, MN, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241271907. doi: 10.1177/21501319241271907.
Low back pain is the most common musculoskeletal complaint accounting for over 30 million visits to primary care physicians annually. Serious pathology is found in less than 1% of these visits. Therefore it is often a challenge to distinguish worrisome findings requiring further workup and treatment from common complaints of pain. Gout is an inflammatory arthritis that most commonly affects the appendicular skeleton. It is characterized by the saturation of uric acid and deposition of monosodium urate crystals in joints and tissues. Spinal involvement is rare and is not typically considered on the differential diagnosis for a patient presenting with acute low back pain. We present such a case of a 35-year-old male who presented with intractable back pain, highlighting the need to recognize signs and symptoms that raise suspicion for spinal gout.
腰痛是最常见的肌肉骨骼疾病，每年有超过 3000 万人就诊于初级保健医生。在这些就诊中，不到 1%的人发现严重的病理。因此，区分需要进一步检查和治疗的令人担忧的发现与常见的疼痛投诉通常具有挑战性。痛风是一种炎症性关节炎，最常影响四肢骨骼。其特征是尿酸饱和和单钠尿酸盐晶体在关节和组织中的沉积。脊柱受累很少见，通常不在急性腰痛患者的鉴别诊断中考虑。我们报告了这样一个 35 岁男性的病例，他表现为顽固性背痛，强调需要识别出引起脊柱痛风怀疑的体征和症状。
