We report a case of a 16-year-old boy with intermittent and migratory polyarthralgia, who made a diagnostic dilemma.Summary of Background Data.
Spinal involvement without spinal symptom in gout seems to be rare. However, the relationship of spinal gout to symptoms is poorly understood.Methods.
Description of the case report.Results.
Laboratory findings cannot explain his symptoms; however, a computed tomography of the pelvis revealed the presence of space-occupying lesion involving the left side of spine at L5-S1 level, and the later biopsy revealed that was a urate crystal, which help us make the diagnosis of spinal gout.Conclusion.
Gout can be a cunning disease which has various manifestations, and spinal involvement can be asymptomatic.Conclusion.
Level of Evidence: 5