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Axial crystal arthropathy mimicking facet joint septic arthritis with epidural abscess

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He presented with worsening back pain, lower limb weakness, and new urinary incontinence. He was febrile (38°C) and his left hand and wrist were swollen and tender. He had no… Click to show full abstract

He presented with worsening back pain, lower limb weakness, and new urinary incontinence. He was febrile (38°C) and his left hand and wrist were swollen and tender. He had no joint tenderness elsewhere and no tophi. Left wrist aspirate two days prior demonstrated monosodium urate (MSU) crystals, and colchicine 500 μg twice daily was started. Serum urate was 0.37 mmol/L (reference interval [RI], 0.21– 0.42 mmol/L).

Keywords: crystal arthropathy; arthropathy mimicking; mimicking facet; facet joint; joint septic; axial crystal

Journal Title: Medical Journal of Australia
Year Published: 2023

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