ArticleCureus2025
Facet Joint Gouty Arthropathy: An Uncommon Cause of Chronic Lumbar Pain.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors.
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Abstract
Gout is a well-recognised metabolic disorder typically affecting peripheral joints; however, axial involvement remains underdiagnosed and poorly understood. Facet joint gouty tophi, although rare, represent an important manifestation of gout that can significantly impact patient outcomes. This case report details a 27-year-old gentleman who presented with left-sided lower back pain for the past three years on a background of poorly controlled gout and obesity. A contrast-enhanced MRI revealed T1-weighted contrast enhancement at the L4-L5 facet joint area and a possible punched-out erosion, suggestive of facet joint gouty arthropathy and tophaceous changes, given his history of poorly controlled gout. This case report discusses the prevalence, presentation, imaging and management of facet joint gout arthropathy as an uncommon cause of chronic lower back pain.
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