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

VIEW THE ENTIRE ARTICLE

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
  • Views: 955
    HTML downloads: 166
    PDF downloads: 400


    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.