Rarely gout may involve the joints of the chest wall. This can be challenging to diagnose in the absence of more classical features of gout.
Clinical presentation:
(1) chest pain
(2) chest tightness
Sites of deposition may include:
(1) costochondral junction
(2) costovertebral junction
(3) thoracic vertebrae
The patient may have an elevated serum uric acid concentration, but not always.
Uric acid deposits can be identified using dual-energy CT (DECT) of the chest.
Misdiagnosis or delayed diagnosis is common.
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Specialty: Surgery, orthopedic
