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An unusual systemic presentation of gout
S Kini1, G Mittal, C Balakrishna
1PD Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400 016.
The Journal of the Association of Physicians of India
|March 7, 2001
Summary
Gout can initially present as a systemic febrile illness with acute polyarthritis in elderly women. Prompt anti-inflammatory treatment led to significant symptom improvement.
Area of Science:
- Rheumatology
- Internal Medicine
- Geriatrics
Background:
- Gout is a common form of inflammatory arthritis.
- It typically affects middle-aged men and postmenopausal women.
- Atypical presentations can occur, especially in the elderly.
Observation:
- An elderly female patient experienced a systemic febrile illness.
- The initial symptom was acute polyarthritis.
- This presentation marked the first manifestation of gout for the patient.
Findings:
- The patient's symptoms of fever and polyarthritis were indicative of gout.
- Anti-inflammatory therapy was initiated for treatment.
- The patient showed a dramatic improvement following treatment.
Implications:
- This case highlights the importance of considering gout in elderly patients with febrile polyarthritis.
- Early diagnosis and treatment of gout can lead to rapid symptom resolution.
- Recognizing atypical presentations is crucial for effective geriatric rheumatological care.