Chronic Miliarial Gout Associated with Carpal Tunnel Syndrome: A Very Rare Clinical Presentation

Victoria Sadovici-Bobeica; Lucia Mazur-Nicorici; Aliona Nicorici; Virginia Salaru; Natalia Loghin-Oprea; Maria Garabajiu; Valeriu Istrati; Minodora Mazur

doi:10.12890/2018_000926

Victoria Sadovici-Bobeica
Department of Internal Medicine, State University of Medicine and Pharmacy "Nicolae Testemițanu", Chisinau, Republic of Moldova
Lucia Mazur-Nicorici
Department of Internal Medicine, State University of Medicine and Pharmacy "Nicolae Testemițanu", Chisinau, Republic of Moldova
Aliona Nicorici
Laboratory of Immunology, Institute of Oncology, Chisinau, Republic of Moldova
Virginia Salaru
Department of Family Medicine, State University of Medicine and Pharmacy "Nicolae Testemițanu", Chisinau, Republic of Moldova
Natalia Loghin-Oprea
Department of Internal Medicine, State University of Medicine and Pharmacy "Nicolae Testemițanu", Chisinau, Republic of Moldova
Maria Garabajiu
Department of Internal Medicine, State University of Medicine and Pharmacy "Nicolae Testemițanu", Chisinau, Republic of Moldova
Valeriu Istrati
Department of Internal Medicine, State University of Medicine and Pharmacy "Nicolae Testemițanu", Chisinau, Republic of Moldova
Minodora Mazur
Department of Internal Medicine, State University of Medicine and Pharmacy "Nicolae Testemițanu", Chisinau, Republic of Moldova

Keywords

Gout, Miliary Gout, Carpal tunnel syndrome

Abstract

This case report describes an unusual form of gout, called miliarial gout, in association with carpal tunnel syndrome in a 54-year-old woman. Miliarial gout was first described in 2007 and is a very rare presentation of chronic tophaceous gout. The latter condition can cause carpal tunnel syndrome, but this association has not previously been described in association with miliarial gout. In addition, the authors discuss the use of the parsimony principle in internal medicine whereby a single cause is first sought for different symptoms presenting at the same time.

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References

Pascual E, Bardin T, Richette P. Crystal arthropathies. Gout. In: EULAR textbook on rheumatic diseases. BMJ, London; 2012, p. 301.

Richette P, Doherty M, Pascual E, et al. 2016 updated EULAR evidence-based recommendations for the management of gout. Ann Rheum Dis 2017;76:29–42.

Mireku K, Burgy J, Davis L. Miliarial gout: a rare clinical presentation. J Am Acad Dermatol 2014;71:e17–e18.

Shukla R, Vender RB, Alhabeeb A, Salama S, Murphy F. Miliarial gout (a new entity). J Cutan Med Surg 2007;11:31–34.

PubMed. https://www.ncbi.nlm.nih.gov/pubmed/?term=carpal+tunnel+gout

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Published: 2018-08-08
Issue: Vol 5 No 9 (view)

How to cite:

1.

Sadovici-Bobeica V, Mazur-Nicorici L, Nicorici A, Salaru V, Loghin-Oprea N, Garabajiu M, Istrati V, Mazur M. Chronic Miliarial Gout Associated with Carpal Tunnel Syndrome: A Very Rare Clinical Presentation. EJCRIM 2018;5 doi:10.12890/2018_000926.

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