Ayak İnterfalangeal Ekleminde Psöriazis İlişkili Gut Artriti : Case Report

Biz bu çalışmada 40 yaşında erkek hastada, psöriazis hastalığı ile ilişkili, sağ ayak 1. Parmak interfalangeal eklem lokalizasyonlu gut artritinin ilk raporunu yayınlıyoruz. Belirtiler konservatif tedavilere cevap vermediğinden, hasta cerrahi olarak tedavi edildi. Artrotomi yapılarak, kemiklerin çevresi ve eklem içi yerleşimli kristaller debride edildi. Ardından farmakolojik tedavi ve yaşam sitili değilikliği uygulandı. 12 aylık izlemde semptomların rekürrensi olmamıştır.

Psoriasis Related Gout Arthritis In The Big Toe Interphalangeal Joint: A Case Report

In this study, we present the first report of a case of gout arthritis localized in the interphalangeal joint of the right foot firts toe, which was related to psoriasis disease in a 40-year-old male patient. Since the symptoms did not response to conservative treatments, the patient was treated with surgery. Arthrotomy was performed to debride around the bones and intraarticular crystals. Then, pharnacological treatment was initiated and life style changes were made. No recurrence of the symptoms were observed during 24-month follow-up.

Keywords:

Psoriasis, gout, interphalangeal diagnosis,

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1. Gaviria JL, Ortega VG, Gaona J, Motta A, Medina Barragán OJ. Unusual dermatological manifestations of gout: review of literature and a case report. Plast Reconstr Surg Glob Open 2015;3:e445. [CrossRef]
2. Luk AJ, Simkin PA. Epidemiology of hyperuricemia and gout. Am J Manag Care 2005;11:S435–42. https://www.ajmc.com/journals/ supplement/2005/2005-11-vol11-n15suppl/nov05-2216ps435-s442
3. Purohit MB, Purohit TM, Tandon RK. FNAC of gouty tophi –a case report. Indian J Pathol Microbiol 2006;49:42–3.
4. Wallace KL, Riedel AA, Joseph-Ridge N, Wortmann R. Increasing prevalence of gout and hyperuricemia over 10 years among older adults in a managed care population. J Rheumatol 2004;31:1582–7. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1015.52 39&rep=rep1&type=pdf
5. Alici T, Imren Y, Erdil M, Gundes H. Gouty arthritis at interphalangeal joint of foot after sildenafil use: A case report. Int J Surg Case Rep 2013;4:11–4. [CrossRef]
6. AlJohani R, Polachek A, Ye JY, Chandran V, Gladman DD. Characteristic and Outcome of Psoriatic Arthritis Patients with Hyperuricemia. J Rheumatol 2018;45:213–7. [CrossRef]
7. Zhang W, Doherty M, Pascual E, Bardin T, Barskova V, Conaghan P. EULAR evidence based recommendations for gout. Part I. diagnosis. Report of a task force of the Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis 2006;65:1301–11. [CrossRef]
8. Neogi T. Clinical practice, Gout. N Engl J Med 2011;364:443–52. [CrossRef]
9. Dobson M, Alwahab Y, Fazal MA. Interphalangeal joint involvement of the big toe in gout: a rare presentation. J Am Podiatr Med Assoc 2012;102:256–8. [CrossRef]
10. Bousson V, Hamzé B, Wybier M, Daguet E, Parlier C, Petrover D, et al. Soft tissue tumors and pseudotumors of the foot and ankle. J Radiol 2008;89:21–34. [CrossRef]
11. Öztürk R, Arıkan ŞM, Şimşek MA, Özanlağan E, Güngör BŞ. Management of solitary fibrous tumors localized in extremity: case series and a review of the literature. Eklem Hastalık Cerrahisi 2017;28:121–7. [CrossRef]
12. Öztürk R, Arıkan ŞM, Bulut EK, Kekeç AF, Çelebi F, Güngör BŞ. Distribution and evaluation of bone and soft tissue tumors operated in a tertiary care center. Acta Orthop Traumatol Turc 2019;53:189–94. [CrossRef]
13. Ochoa CD, Valderrama V, Mejia J, Rondon F, Villaroya N, Restrepo JF, et al. Panniculitis: another clinical expression of gout. Rheumatol Int 2011;31:831–5. [CrossRef]
14. Weberschock T, Gholam P, Hartschuh W, Hartmann M. Gouty panniculitis in a 68-year-old man: case report and review of the literature. Int J Dermatol 2010;49:410–3. [CrossRef]
15. Martin D, Joliat GR, Fournier P, Brunel C, Demartines N, Gié O. An unusual location of gouty panniculitis: A case report. Medicine (Baltimore) 2017;96:e6733. [CrossRef]