Unusual Clinical Presentations of Gout

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]

Curr Opin Rheumatol. 2010;22(2):181 © 2010  Lippincott Williams & Wilkins

Cite this: Unusual Clinical Presentations of Gout - Medscape - Mar 01, 2010.