You are here

Responses

Article menu
Download PDFPDF
Images in rheumatology
Clinical image: tophus in the sternoclavicular joint
Compose a Response to This Article
Compose Response

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on: 21 September 2024
    Correspondence on “Clinical image: tophus in the sternoclavicular joint” by Chen et al.
    • Svitlana Smiyan, Professor of Medicine Ivan Horbachevsky Ternopil National University, Ternopil, Ukraine
    • Other Contributors:
      • Roman Komorovsky, Professor of Medicine
      • Ulyana Slaba, Associate Professor of Medicine

    We have read with great interest the recent article by Chen et al. [1] on gout affecting the sternoclavicular joint (SCJ) [1]. It provides important insights into diagnosis and imaging of this rare condition. However, we noticed that while the authors mention that there were only three previously published cases [2-4] on SCJ involvement in gout, our case published in Rheumatology Advances in Practice [5] was notably absent from the discussion.
    In our case, a 45-year-old male presented with acute onset swelling and severe pain in the left SCJ, initially suspected of malignancy but later confirmed as gout through histological analysis [5]. Noteworthy in this context is the normal serum uric acid level at presentation, a commonality with the case reported by Chen et al. [1]. This shows that gout can still be a possibility even when uric acid levels are normal, which is an important point for physicians to consider when diagnosing similar cases. The article [1] rightly points out the importance of considering gout in patients with unusual joint pain across various occupations. Our study [5] provides a similar perspective but from a slightly different angle, reinforcing the importance to acknowledge that such presentations can also appear in individuals with multiple metabolic risk factors, regardless of their uric acid history, which may be unknown.

    We value the contributions by Chen et al. [1] and think that mentioning our findings [5] could lead to a fuller disc...

    Show More
    Conflict of Interest:
    None declared.