Chronic tophaceous gout with anti-CCP positivity: A rare presentation
DOI:
https://doi.org/10.15305/ijrci/v4i1/184Keywords:
rheumatoid arthritis, gout, uric acid, anti-CCPAbstract
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. RevistaBrasileira 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. Dhoat PS, Khurana A, Mittal J, Sandhu AK, Singh S. Coexistent tophaceousgout and rheumatoid arthritis. A case report. Journal of Evolution of Medical and Dental Sciences. 2014; 3(14): 3685-3688.