ACUTE GOUTY SACROILIITIS - A CASE-REPORT AND REVIEW OF THE LITERATURE

A 45-year-old black woman with an acute attack of severe unilateral sa croiliitis, negative microbiologic studies, is presented. An open biop sy specimen of the sacroiliac joint revealed evidence of tophaceous go ut. The unique features of the case, differential diagnosis, and perti nent literature on gouty sacroiliitis are reviewed. Acute gouty sacroi liitis, although it is rare, does occur and should be included in the differential diagnosis of unilateral sacroiliitis in patients with a l ong-standing history of gout.