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Peripheral arthrocentesis in the work-up of acute low back pain.
Arch Phys Med Rehabil. 1990 Mar; 71(3):253-4.AP

Abstract

Involvement of the axial skeleton in acute gouty arthritis has rarely been reported. Without the presence of peripheral tophi or history of gout, this diagnosis is often not considered. A patient is described with acute low back pain and for whom a diagnosis of acute axial gout was suggested after arthrocentesis of an asymptomatic peripheral joint yielded monosodium urate crystals. Treatment with colchicine led to prompt resolution of the gouty flare. Demonstration of urate crystals in this manner may encourage the clinician to attempt a trial therapy for acute gout, or at least to add gout to the differential diagnosis of acute back pain.

Authors+Show Affiliations

Leventhal LJ
Rheumatology Section, Philadelphia Veterans Administration Hospital.
Levin RW
No affiliation info available
Bomalaski JS
No affiliation info available

MeSH

Arthritis, GoutyBack PainColchicineHumansKnee JointMaleMiddle AgedSynovial FluidUric Acid

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

2138451

Citation

Leventhal, L J., et al. "Peripheral Arthrocentesis in the Work-up of Acute Low Back Pain." Archives of Physical Medicine and Rehabilitation, vol. 71, no. 3, 1990, pp. 253-4.
Leventhal LJ, Levin RW, Bomalaski JS. Peripheral arthrocentesis in the work-up of acute low back pain. Arch Phys Med Rehabil. 1990;71(3):253-4.
Leventhal, L. J., Levin, R. W., & Bomalaski, J. S. (1990). Peripheral arthrocentesis in the work-up of acute low back pain. Archives of Physical Medicine and Rehabilitation, 71(3), 253-4.
Leventhal LJ, Levin RW, Bomalaski JS. Peripheral Arthrocentesis in the Work-up of Acute Low Back Pain. Arch Phys Med Rehabil. 1990;71(3):253-4. PubMed PMID: 2138451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Peripheral arthrocentesis in the work-up of acute low back pain. AU - Leventhal,L J, AU - Levin,R W, AU - Bomalaski,J S, PY - 1990/3/1/pubmed PY - 1990/3/1/medline PY - 1990/3/1/entrez SP - 253 EP - 4 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 71 IS - 3 N2 - Involvement of the axial skeleton in acute gouty arthritis has rarely been reported. Without the presence of peripheral tophi or history of gout, this diagnosis is often not considered. A patient is described with acute low back pain and for whom a diagnosis of acute axial gout was suggested after arthrocentesis of an asymptomatic peripheral joint yielded monosodium urate crystals. Treatment with colchicine led to prompt resolution of the gouty flare. Demonstration of urate crystals in this manner may encourage the clinician to attempt a trial therapy for acute gout, or at least to add gout to the differential diagnosis of acute back pain. SN - 0003-9993 UR - https://www.unboundmedicine.com/medline/citation/2138451/Peripheral_arthrocentesis_in_the_work_up_of_acute_low_back_pain_ DB - PRIME DP - Unbound Medicine ER -