Tophaceous Gout of the Patella: A Report of Two Cases. (7th November 2012)

• Record Type: Journal Article
• Authors: Hopper, Graeme; Gupta, Sanjay; Bethapudi, Sarath; Ritchie, David; MacDuff, Elaine; Mahendra, Ashish
• Other Names: Cevik R. Academic Editor.; Gresser U. Academic Editor.; Hunt M. A. Academic Editor.
• Is Part Of: Case reports in rheumatology. Volume 2012(2012)
• Publication Date: 2012-11-07
• Subjects: Rheumatology -- Periodicals; Rheumatology -- Case studies -- Periodicals; Rheumatic Diseases; Connective Tissue Diseases; Rheumatology; Periodicals; Electronic journals; Case studies; Periodicals; 616.723
• DOI: 10.1155/2012/253693
• Languages: English
• ISSNs: 2090-6889

Abstract

Abstract : Introduction . Tophaceous gout of the patella is rare and may masquerade as a tumour or tumour-like condition. Cases . We report two patients with gout involving the patella, one complicated by a pathological fracture and the other occurring in a bipartite patella in a young adult. Discussion . Typical imaging appearances and measurement of serum urate will usually confirm the diagnosis but, occasionally, the serum urate level may be normal in active gout and in such cases, a biopsy will be required. Conclusion . Gout of the patella may masquerade as a tumour or tumour-like condition and it is important to consider gout in the differential diagnosis.