The purpose of this work was to demonstrate additional treatment options for severe refractory gouty arthritis.
Materials and methods. To achieve this goal we present a clinical case. The patient was on inpatient treatment at the Therapeutic Department of the Center of Reconstructive and Restorative Medicine (University Clinic) of the Odessa National Medical University due to severe refractory gouty arthritis, polyarthritis with injury of both ankle joints, wrist and small joints of the hands and feet.
Results. In order to treat the acute attack of gouty arthritis in this patient, we consistently used: colchicine, different non-steroidal anti-inflammatory drugs, glucocorticosteroids in mild-to-moderate doses and different analgetics. After unsuccessful attempts to treat the patient with standard methods, we successfully applied pulsed therapy with methylprednisolone.
Conclusions. Treatment of gouty arthritis remains a complex task, the solution of which requires an integrated approach taking into account many factors, including individual response to the prescribed therapy. Pulse therapy with methylprednisolone can be effective in treating severe acute refractory gouty arthritis.