Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Mar 27;85(4):1158-1161.
doi: 10.1097/MS9.0000000000000389. eCollection 2023 Apr.

Unusual location of gouty arthritis with shoulder joint involvement in an elderly male patient: a rare case report

Oadi N Shrateh  1 , Afnan W M Jobran  1 , Momen A Zaid  2 , Heba K Hamed  3 , Mohammad Y Asees  4 , Omar Soboh  3 , Ahmad A Dallashi  3
Affiliations
Case Reports

Unusual location of gouty arthritis with shoulder joint involvement in an elderly male patient: a rare case report

Oadi N Shrateh et al. Ann Med Surg (Lond). .

Abstract

Gout is a metabolic disease characterized by recurrent episodes of acute arthritis. Gout has been reported in many locations but is rarely localized in the shoulder joint.

Case presentation: A 73-year-old man who visited an outpatient clinic with the main complaint of a right shoulder ache lasting 2 weeks came to our attention. The patient reports his discomfort as being of an unbearable character, happening largely at night and preventing him from falling asleep. In the previous 6 months, he had two episodes of the same ailment that lasted around 3-5 days each and spontaneously resolved. Due to the pain's continuance without improvement, the patient now seeks medical assistance. Gout with right shoulder involvement was identified as the cause. Prednisolone 40 mg/day for 10 days, allopurinol 300 mg/day, and colchicine 0.5 mg/day were all prescribed for the patient. After 6 months of follow-up, the patient had significantly improved.

Discussion and conclusions: The condition of gout affecting the shoulder joint is quite rare. According to past medical history and clinical manifestations, doctors and orthopedic surgeons should take gouty shoulder arthritis into consideration when there is serious erosion.

Keywords: case report; gouty arthritis; shoulder.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Figures

Figure 1
Figure 1
Physical examination of the aspirated synovial fluid of the right shoulder shows a pinkish color with low viscosity and high turbidity.
Figure 2
Figure 2
A-F, Microscopic examination of the aspirated synovial fluid of the right shoulder shows monosodium urate crystal with a needle shape. The analysis of fluid shows markedly increased monosodium urate crystal. The uric acid in the fluid is 15 mg/dl with normal sugar and protein content. The white blood cells count is 2500 cell/μl and the reb blood cells count is 26 000 cell/μl.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Richette P, Doherty M, Pascual E, et al. . 2016 updated EULAR evidence-based recommendations for the management of gout. Ann Rheum Dis 2017;76:29–42. - PubMed
    1. Clive DM. Renal transplant-associated hyperuricemia and gout. J Am Soc Nephrol 2000;11:974–979. - PubMed
    1. Abbott KC, Kimmel PL, Dharnidharka V, et al. . New-onset gout after kidney transplantation: incidence, risk factors and implications. Transplantation 2005;80:1383–1391. - PubMed
    1. Lumezanu E, Konatalapalli R, Weinstein A. Axial (spinal) gout. Curr Rheumatol Rep 2012;14:161–164. - PubMed
    1. Konatalapalli RM, Lumezanu E, Jelinek JS, et al. . Correlates of axial gout: a cross-sectional study. J Rheumatol 2012;39:1445–1449. - PubMed

Publication types