New-Onset Rapidly Progressive Polyarticular Tophaceous Gout After Cerebrovascular Accident

We present a novel case of new-onset, polyarticular tophaceous gout, which developed on the patient's hemiparetic side several days after she was diagnosed with a middle cerebral artery stroke. This is the first case of an acute gout flare in a patient without history of gout. She was successfully treated with anakinra.

Automated summary

We report a unique case of new-onset, polyarticular tophaceous gout in a patient who developed it on her hemiparetic side days after being diagnosed with a middle cerebral artery stroke. This is the first instance of an acute gout flare in a patient with no previous history of gout. The patient was effectively treated with anakinra.