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Monoarticular acromioclavicular joint gout: a case report
1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pennsylvania, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|August 5, 2000
Summary
This is the first reported case of acromioclavicular joint gout in an immunosuppressed patient, highlighting diagnostic challenges. Gout can present atypically in renal transplant recipients on cyclosporin A.
Area of Science:
- Rheumatology
- Immunology
Background:
- Acromioclavicular (AC) joint gout is exceptionally rare.
- Evaluating acute monoarticular arthritis in immunosuppressed patients presents diagnostic challenges.
Observation:
- This report details the first case of monoarticular AC joint gout.
- The patient was an immunosuppressed individual, specifically a renal transplant recipient on cyclosporin A.
Findings:
- The case illustrates diagnostic difficulties in immunosuppressed patients with acute monoarticular arthritis.
- It highlights an atypical presentation of gout in renal transplant patients treated with cyclosporin A.
Implications:
- This case expands the understanding of gout's rare presentations.
- It underscores the importance of considering atypical gout in immunosuppressed patients, particularly those with specific transplant medications.