Jajić I
Skeletal Radiol. 1982;8(3):209-12. doi: 10.1007/BF00355508.
It is well known that deposits of urates in soft tissues occur commonly in gout, particularly in para-articular areas and in articular cartilages of the limbs. Involvement of the spine and sacro-iliac joints by such deposits, however, has been regarded as being relatively unusual and has attracted little attention in the literature. As we were impressed by the frequency of episodes of acute back pain in our patients with gouty arthritis, established definitely on clinical and biochemical grounds, we undertook a radiological investigation of the spine and sacro-iliac joints in a series of 54 subjects. It was suspected that their episodes of pain were clinical manifestations of gout, and 12 of the group had suffered one or more attacks. Of these 12 subjects, eight were found to have radiological abnormalities. In six subjects, evidence of sacro-iliitis was demonstrated, which is comparable to the report of Resnick and Reinke [8], and in two patients vertebral lesions corresponded to those describe by Jaffe [5]. Hyperostotic spondylosis was present in no fewer than 29 of the series. Although lacking histological confirmation of the lesions demonstrated radiologically, we believe that our suspicions have been confirmed.
众所周知，尿酸盐在软组织中的沉积在痛风中很常见，尤其是在关节周围区域和四肢关节软骨中。然而，这种沉积物累及脊柱和骶髂关节被认为相对不常见，在文献中很少受到关注。由于我们对痛风性关节炎患者急性背痛发作的频率印象深刻，这些患者已根据临床和生化依据明确确诊，我们对54例患者的脊柱和骶髂关节进行了放射学检查。怀疑他们的疼痛发作是痛风的临床表现，该组中有12人曾遭受过一次或多次发作。在这12名受试者中，有8人被发现有放射学异常。在6名受试者中，证实有骶髂关节炎，这与雷斯尼克和赖因克的报告[8]一致，在2名患者中，椎体病变与贾菲描述的病变[5]相符。该系列中不少于29人存在骨质增生性脊柱炎。尽管缺乏对放射学显示病变的组织学证实，但我们相信我们的怀疑已得到证实。
