BMJ Case Reports 2012; doi:10.1136/bcr.12.2011.5345
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Juvenile gout: rare and aggressive

  1. Nuno Riso1
  1. 1Department of Internal Medicine 2, Curry Cabral Hospital, Lisbon, Portugal
  2. 2Department of Physiatrics and Rehabilitation, Hospital Curry Cabral, Lisbon, Portugal
  1. Correspondence to Dr Celia Coelho Henriques, celia.c.henriques{at}


A 32-year-old male patient presented with an acute polyarticular gout attack. Gout diagnosis was made 16 years before by isolation of monosodium urate crystals in synovial liquid. He had a frequency of four to five attacks of gout per year. Acute attacks were treated with non-steroidal anti-inflammatory drugs (ibuprofen) and colchicine. He was on no long-term medications. There was no family history of gout. On examination he was hypertensive (blood pressure of 162/91 mm Hg) and his body mass index was normal, of 19 kg/m2. He had important articular deformity of both hands …

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