A Misdiagnosis of Atypical Gout

Manji A1, Anderson V2 and Saad A1,2,3*

1Sheepcot Medical Centre, Watford, UK
2St George’s University, Grenada
3Imperial College School of Medicine, UK

^*Correspondance to: Adnan Saad 

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Abstract:

Gout is a common type of inflammatory arthritis in the UK, due to hyperuricemia. With a wide range of risk factors and presenting symptoms, it may easily be mistaken for another inflammatory arthritis or skin and soft tissue infection. It is one of the most effectively treated inflammatory pathologies, with high rates of life-long remission on urate-lowering therapy. We present a case of gouty arthropathy in the right arm treated initially as cellulitis, leading to a five-week delay in diagnosis. We review literature reporting other instances of diagnostic delay or misdiagnosis of gout, and reasons for diagnostic inaccuracy. We conclude that gout should appear in the differential list for any patient with an acute joint or upper limb swelling, with acute and long-term management being highly effective in reducing long-term joint damage.

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Cite the Article:

Manji A, Anderson V, Saad A. A Misdiagnosis of Atypical Gout. Ann Clin Case Rep. 2024; 9: 2601..