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).
               
Click one of the above tabs to view related content.