Juvenile gout: rare and aggressive
- Celia Coelho Henriques1,
- Agostinho Monteiro1,
- Begoña Lopéz1,
- Luís Sequeira2,
- António Panarra1,
- Nuno Riso1
- 1Department of Internal Medicine 2, Curry Cabral Hospital, Lisbon, Portugal
- 2Department of Physiatrics and Rehabilitation, Hospital Curry Cabral, Lisbon, Portugal
- Correspondence to Dr Celia Coelho Henriques, celia.c.henriques{at}gmail.com
Description
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 …
