rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.47360/1995-4484-2023-763-768rsp-3476Research ArticleКЛИНИЧЕСКИЙ СЛУЧАЙCLINICAL OBSERVATIONСакроилиит при подагреSacroiliitis in gout: Difficulties of diagnosishttps://orcid.org/0000-0002-2246-686XАгафоноваЕ. М.AgafonovaE. M.

Агафонова Екатерина Михайловна.

115522, Москва, Каширское шоссе, 34а

Ekaterina M. Agafonova.

115522, Moscow, Kashirskoye Highway, 34A

busy89@mail.ruhttps://orcid.org/0000-0002-4626-0938АристоваМ. В.AristovaM. V.

115522, Москва, Каширское шоссе, 34а

Maria V. Aristova.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0003-1191-5831ЕлисеевМ. С.EliseevM. S.

115522, Москва, Каширское шоссе, 34а

Maxim S. Eliseev.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-5394-7869ЖелябинаО. В.ZheliabinaO. V.

115522, Москва, Каширское шоссе, 34а

Olga V. Zheliabina.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0003-3195-5187ЭрдесШ.ErdesSh.

115522, Москва, Каширское шоссе, 34а

Shandor Erdes.

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-7418-9369СмирновА. В.SmirnovA. V.

115522, Москва, Каширское шоссе, 34а

Alexander V. Smirnov.

115522, Moscow, Kashirskoye Highway, 34A

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation202301012024616763768Copyright © Агафонова Е.М., Аристова М.В., Елисеев М.С., Желябина О.В., Эрдес Ш., Смирнов А.В., 20242024Агафонова Е.М., Аристова М.В., Елисеев М.С., Желябина О.В., Эрдес Ш., Смирнов А.В.Agafonova E.M., Aristova M.V., Eliseev M.S., Zheliabina O.V., Erdes S., Smirnov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/3476

Подагра – наиболее распространенное хроническое аутовоспалительное заболевание. Ее развитие связано со стойкой гиперурикемией, которая обусловлена как внешнесредовыми, так и генетическими факторами и приводит к отложению кристаллов моноурата натрия в различных тканях и органах. Подагра чаще встречается у мужчин, чем у женщин детородного возраста, что объясняется урикозурическим действием эстрогена, однако после менопаузы частота развития подагры у женщин значительно возрастает. В дебюте заболевания наиболее часто в патологический процесс вовлекаются первый плюснефаланговый сустав, голеностопные и коленные суставы. Однако в литературе имеются единичные сообщения о редком поражении подагрой осевого скелета, например, крестцово-подвздошного сустава, при котором характер боли и изменения, выявляемые при магнитно-резонансной томографии и рентгенологическом исследовании, могут имитировать спондилоартрит. В статье представлен редкий случай поражения осевого скелета у пациентки 57 лет с подагрой, проявившейся острой воспалительной болью в спине и артритом суставов нижних конечностей.

Gout is the most common chronic autoinflammatory disease, the development of which is associated with persistent hyperuricemia caused by both environmental and genetic factors, which leads to the deposition of sodium monourate crystals in various tissues and organs of the human body. Gout is more common in men than in women of childbearing age, due to the uricosuric effect of estrogen, however, after menopause, the incidence of gout in women increases significantly. At the onset of the disease, the first metatarsophalangeal joint, ankle and knee joints are most often involved in the pathological process. However, there are isolated reports in the literature about a rare gout lesion of the axial skeleton, for example, the sacroiliac joint, in which the nature of the pain syndrome, magnetic resonance imaging, and X-ray picture can mimic spondyloarthritis. The article presents a rare case of damage to the axial skeleton in a 57-year-old patient with gout, manifested by acute inflammatory back pain and arthritis of the lower extremities.

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The authors declare that there are no conflicts of interest present.