Tocilizumab in a Patient With Tophaceous Gout Resistant to Treatment.

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Bibliographic Details
Title: Tocilizumab in a Patient With Tophaceous Gout Resistant to Treatment.
Alternate Title: Tocilizumab en paciente con gota tofácea severa refractaria al tratamiento.
Authors: Pinto, Jessica L.1, Mora, Gloria E.1, Fernández-Avila, Daniel G.1 danielfernandezmd@gmail.com, Gutiérrez, Juan M.1, Díaz, María C.1
Source: Reumatología Clínica. may/jun2013, Vol. 9 Issue 3, p178-180. 3p.
Subjects: GOUT treatment, RHEUMATOID arthritis treatment, JOINT injuries, ADRENOCORTICAL hormones, DRUG resistance, INFLAMMATION
Abstract (English): Gout is a disease characterized by acute episodes of pain, which occurs as the result of monosodic urate crystal deposit in the joint and periarticular tissue. In some cases, gout behaves as a severe inflammatory arthopathy that is difficult to manage, generating structural joint damage and functional impairment. We report the case of a 44 years old man with gouty arthritis for 12 years, not responding to NSAIDs, alopurinol, colchicine or corticosteroids. Tocilizumab was started with favorable clinical and laboratory results after treatment. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La gota es una enfermedad que se caracteriza por episodios agudos de dolor como consecuencia del depósito de cristales de urato monosódico en las articulaciones y en el tejido periarticular. En algunos casos, la gota se comporta como una artropatía inflamatoria severa de difícil manejo, generándose dano estructural articular y alteración funcional secundaria. Presentamos el caso de un hombre de 44 anos con artritis gotosa tofácea severa de 12 años de evolución, sin respuesta al manejo con AINE, alopurinol, colchicina y corticoides, a quien se inició tratamiento con tocilizumab, con favorable respuesta clínica y paraclínica. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Gout is a disease characterized by acute episodes of pain, which occurs as the result of monosodic urate crystal deposit in the joint and periarticular tissue. In some cases, gout behaves as a severe inflammatory arthopathy that is difficult to manage, generating structural joint damage and functional impairment. We report the case of a 44 years old man with gouty arthritis for 12 years, not responding to NSAIDs, alopurinol, colchicine or corticosteroids. Tocilizumab was started with favorable clinical and laboratory results after treatment. [ABSTRACT FROM AUTHOR]
ISSN:1699258X
DOI:10.1016/j.reuma.2012.06.009