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Open Access 01-12-2015 | Case Report

Post-streptococcal acute glomerulonephritis complicated by gouty arthritis: a case report

Authors: Yasutaka Kuniyoshi, Azusa Kamura, Sumie Yasuda, Makoto Tashiro

Published in: Pediatric Rheumatology | Issue 1/2015

Abstract

Gouty arthritis is uncommon in childhood and adolescence. On the other hand, there has been no report of cases with development of gouty arthritis with post-streptococcal acute glomerulonephritis (PSAGN) in pediatric patients. Here we report the case of a mildly obese 12-year-old boy with PSAGN complicated by gouty arthritis of the left first metatarsophalangeal joint. On follow-up, it was confirmed that as serum C3 level returned to normal, urinary excretion of uric acid increased and serum uric acid level decreased, thereby resolving the burning pain of the left big toe. In this case, not only did renal insufficiency associate with PSAGN but also mild obesity may have led to hyperuricemia and gouty arthritis. In conclusion, clinicians should be aware that PSAGN may be complicated by gouty arthritis in obese pediatric patients.

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Title: Post-streptococcal acute glomerulonephritis complicated by gouty arthritis: a case report
Authors: Yasutaka Kuniyoshi
Azusa Kamura
Sumie Yasuda
Makoto Tashiro
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Pediatric Rheumatology / Issue 1/2015
Electronic ISSN: 1546-0096
DOI: https://doi.org/10.1186/s12969-015-0019-7

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Post-streptococcal acute glomerulonephritis complicated by gouty arthritis: a case report

Abstract

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