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Tophaceous gout of the axial skeleton
M H Arnold1, P M Brooks, P Savvas
1Department of Rheumatology, Royal North Shore Hospital of Sydney.
Australian and New Zealand Journal of Medicine
|December 1, 1988
Abstract:
A 72-year-old female with a recent episode of podagra, without peripheral tophi, presented with nocturnal back pain and a destructive lesion of the right lamina of L4. A tophus was excised at laminectomy. Evidence of an axial skeletal tophus causing an irritative radiculopathy via mass effect is presented.