Chronic tophaceous gout with anti-CCP positivity: A rare presentation

Authors

  • Vikram Haridas Arthritis Super Speciality Center
  • Kiran Haridas
  • Vijay Gadagi

DOI:

https://doi.org/10.15305/ijrci/v4i1/184

Keywords:

tophaceous gout, anti-CCP, polyarticular arthritis, Rheumatoid factor

Abstract

Persistent gout may progress into a condition termed as chronic tophaceous gout, which involves the deposition of nodular mass of uric acid crystals called tophi in various soft tissue areas of the body. Generally, the anti-cyclic citrullinated peptide (anti-CCP) antibody testing is considered as a highly specific confirmatory test for RA. We present here a rare case report of chronic tophaceous gouty arthritis with anti-CCP positivity.

References

Dhoat PS, Khurana A, Mittal J, Sandhu AK, Singh S. Coexistent tophaceous gout and rheumatoid arthritis. A case report. Journal of Evolution of Medical and Dental Sciences. 2014; 3(14): 3685-3688.

Sarmento JF, Cavalcante V de A, Sarmento MTR, Braz A de S, Freire EAM. Chronic tophaceous gout mimicking rheumatoid arthritis. Revista Brasileira de Reumatologia. 2009 Dec;49(6):741–6.

Bas S, Perneger TV, Seitz M, Tiercy JM, Roux-Lombard P, Guerne PA. Diagnostic tests for rheumatoid arthritis comparison of anti-cyclic citrullinated peptide antibodies, anti-keratin antibodies and IgM rheumatoid factor. Rheumatology 2002; 41:809-14.

Puszczewicz M, Iwaszkiewicz C. Role of anti-citrullinated protein antibodies in diagnosis and prognosis of rheumatoid arthritis. Arch Med Sci. 2011 Apr;7(2):189–94.

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Published

05-07-2016

Issue

Vol. 4 No. 1 (2016)

Section

Case Studies

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