Unusual Clinical Presentations of Gout

Tony C. Ning; Robert T. Keenan


Curr Opin Rheumatol. 2010;22(2):181 

In This Article

Gouty Tenosynovitis and Entrapment Neuropathies

Tenosynovitis and entrapment neuropathies are commonly seen in clinical practice. Both can be associated with polyarticular inflammatory arthropathies, endocrinopathies, infection, and mechanical or occupational hazards. Difficulty can arise determining the etiology when usual suspects are not applicable or when mimickers prevail. For example, gouty tenosynovitis has been confused with tuberculous tenosynovitis.[28] Also, reported cases of carpal tunnel and tarsal-tunnel syndrome have been found to be secondary to tophaceous gout. Tophi have been found to be compressing the median nerve, resulting in an entrapment neuropathy.[29–32] Gout can also present over the carpal bones, mimic a septic joint, disrupt the scapholunate ligament, and even present similarly to a soft-tissue tumor.[33–36]


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.