Unusual Clinical Presentations of Gout

Tony C. Ning; Robert T. Keenan

Disclosures

Curr Opin Rheumatol. 2010;22(2):181 

In This Article

Gout and Prostheses

Prosthetic joints are not exempt from gout either. Although rare, cases of gouty arthropathy in prosthetic joints have been described in the literature.[58] The patient can present with joint pain, prosthesis loosening, mimicking a septic joint or concomitant with infection. For example, a 58-year-old man underwent a right total knee replacement.[59] Several months later, the patient started to experience right-knee pain, swelling, and fevers. The knee was subsequently aspirated and the fluid not only revealed uric-acid crystals, but the culture grew out Staphylococcus aureus. Total hip prostheses can also present with gout. The tophi deposition in the hip-joint replacement may cause fevers and pain and may cause aseptic loosening in the hip prosthesis.[60,61]

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