REFLEX SYMPATHETIC DYSTROPHY SYNDROME FOLLOWING ACUTE GOUTY-ARTHRITIS

The unusual case of reflex sympathetic dystrophy syndrome caused by an acute attack of gout is reported. The syndrome, involving the left an kle and hindfoot, developed twelve days after a classical gouty attack involving the first metatarso-phalangeal joint of the same foot. Diag nosis was based on X-ray and scintigraphic and MRI changes. A prompt c linical remission was achieved with a short course of i.v. clodronate.