Rheumatoid Arthritis and Gouty Arthritis in an Adult Patient with Down's Syndrome
January 2020
TLDR A 44-year-old woman with Down's syndrome was diagnosed with both rheumatoid and gouty arthritis and treated with multiple medications.
This case report described a 44-year-old female with Down's syndrome who was diagnosed with both rheumatoid arthritis and gouty arthritis. She had a one-year history of joint swelling, ulnar deviation of the hands, limited motion, severe tenderness, hair loss, and scoliosis. Elevated serum uric acid, ESR, and CRP levels, along with a positive rheumatoid factor, supported the diagnosis, despite negative ANA and anti-CCP antibodies. Her treatment included hydroxychloroquine, allopurinol, baclofen, methotrexate, folic acid, and sodium valproate.
