Description

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 …