Indian Journal of Nuclear Medicine
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Year : 2018  |  Volume : 33  |  Issue : 2  |  Page : 158-160

Lumbar Gout Tophus Mimicking Epidural Abscess with Magnetic Resonance Imaging, Bone, and Gallium Scans


1 Department of Nuclear Medicine, University Hospital Infanta Cristina, Badajoz, Spain
2 Department of Orthopedic Surgery, University Hospital Ramón Y Cajal, Madrid, Spain
3 Department of Orthopaedic Surgery, University Hospital Infanta Cristina, Badajoz, Spain

Correspondence Address:
Dr. Justo Serrano Vicente
Department of Nuclear Medicine, University Hospital Infanta Cristina, Badajoz
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_139_17

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Gout is a common metabolic disorder, typically diagnosed in peripheral joints. Tophaceous deposits in lumbar spine are a very rare condition with very few cases reported in literature. The following is a case report of a 52-year-old patient with low back pain, left leg pain, and numbness. Serum uric acid level was in normal range. magnetic resonance imaging, bone scan, and gallium-67 images suggested an inflammatory-infectious process focus at L4. After a decompressive laminectomy at L4–L5 level, histological examination showed a chalky material with extensive deposition of amorphous gouty material surrounded by macrophages and foreign-body giant cells (tophaceous deposits).


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