A case of naturally evolving gout in an elderly man

Francesco Bolzetta; Nicola Veronese; Marco Mosele; Giuseppe Sergi; Enzo Manzato; Valter Giantin

doi:10.1016/j.archger.2011.09.002

A case of naturally evolving gout in an elderly man

Arch Gerontol Geriatr. 2012 Sep-Oct;55(2):497-8. doi: 10.1016/j.archger.2011.09.002. Epub 2011 Sep 23.

Authors

Francesco Bolzetta¹, Nicola Veronese, Marco Mosele, Giuseppe Sergi, Enzo Manzato, Valter Giantin

Affiliation

¹ Department of Medical and Surgical Sciences, Geriatric Division, University of Padova, Italy.

PMID: 21944427
DOI: 10.1016/j.archger.2011.09.002

Abstract

Gout is a common disorder in adults that can lead to severe organ decline, disability and impaired quality of life due to the formation of periarticular tophi. We report a case of massive tophaceous gout in a 78-year-old man with a 16-year-long history of untreated disease. The patient gradually became disabled, his renal function deteriorated, and he finally died of sepsis. Our case demonstrates that chronic gout not only affects the joints, but is also associated with organ function decline and can, even nowadays, lead to death.

Publication types

Case Reports

MeSH terms

Acute Kidney Injury / therapy
Aged
Allopurinol / therapeutic use
Anti-Bacterial Agents / therapeutic use
Arthralgia / drug therapy
Chronic Disease
Colchicine / therapeutic use
Drug Therapy, Combination
Fatal Outcome
Gout / complications*
Gout / drug therapy*
Gout Suppressants / therapeutic use
Humans
Male
Methylprednisolone / therapeutic use
Mobility Limitation
Quality of Life
Renal Dialysis
Respiratory Insufficiency / etiology
Sepsis / drug therapy
Sepsis / microbiology
Severity of Illness Index

Substances

Anti-Bacterial Agents
Gout Suppressants
Allopurinol
Colchicine
Methylprednisolone