A 31-year-old Army specialist presenting with acute oligoarthritis.

Mil Med

Department of Rheumatology, National Naval Medical Center, Bethesda, MD 20889, USA.

Published: October 2008

AI Article Synopsis

  • A 31-year-old Army specialist was diagnosed with gout after experiencing an acute arthritis attack in his left hand, which was confirmed through a synovial fluid analysis at Walter Reed Army Medical Center.
  • This case highlights how gout can present atypically, especially in an active duty soldier, emphasizing the need for broader diagnostic awareness among healthcare providers.
  • The discussions include exploring specific risk factors for gout within military populations and outlining effective management strategies for the condition.

Article Abstract

A 31-year-old Army specialist was evaluated at Walter Reed Army Medical Center for an acute attack of arthritis in the left hand. After an initial evaluation, the patient was referred to the rheumatology service, and gout was diagnosed on the basis of synovial fluid analysis. This case demonstrates an uncommon presentation of a common disorder in an active duty soldier. The discussions presented following the clinical data are meant to expand diagnostic considerations for patients with similar symptoms, to address risk factors for gout relevant to the military, and to clarify the management of gout.

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Source
http://dx.doi.org/10.7205/milmed.173.10.1044DOI Listing

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