BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5151
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Multiple arthritis: three in one

  1. Nuno Riso
  1. Department of Internal Medicine 2, Curry Cabral Hospital, Lisbon, Lisbon, Portugal
  1. Correspondence to Dr Celia Coelho Henriques, celia.c.henriques{at}


The authors describe a first report of three types of arthritis in the same patient: rheumatoid arthritis, psoriatic arthritis and gouty arthritis. A male patient, 56-year-old, Caucasian, with a known history of essential hypertension and gout was presented. The diagnosis of gout was made by isolation of monosodium urate crystals in synovial liquid when he was 45-years-old. He was diagnosed with psoriasis when he was 32-years-old, initially with extensive cutaneous and nail involvement (scalp, trunk and limbs). Associated with psoriatic changes, he had thickening of both legs skin with multiple nodules of hard …

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