AI Article Synopsis

  • Gout is a common disorder related to uric acid metabolism, often presenting as acute arthritis in one joint, but some can develop chronic tophaceous gout.
  • While tophi typically form in the musculoskeletal system, they can, in rare cases, form in organs like the pancreas.
  • The reported case of pancreatic gout is unique, having initially been misdiagnosed as a pancreatic tumor, leading to significant diagnostic challenges.

Article Abstract

Gout is a common disorder of uric acid metabolism highly prevalent in our population. The majority of patients with gout present with acute monoarticular arthritis, but a significant proportion of patients also go on to develop chronic tophaceous gout. Musculoskeletal sites are the usual sites of tophus formation and, very rarely, tophi may form in a visceral organ. We present a case of pancreatic gout of which only 3 cases have been reported. Our case is unique and challenging, as it initially masqueraded as a pancreatic neoplasm creating many diagnostic dilemmas.

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Source
http://dx.doi.org/10.1016/j.amjms.2019.07.001DOI Listing

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