Spinal Gout Without Spinal Symptom in a Junior School Student: A Case Report.

<bold>Study Design: </bold>Case report.<bold>Objective: </bold>We report a case of a 16-year-old boy with intermittent and migratory polyarthralgia, who made a diagnostic dilemma.<bold>Summary Of Background Data: </bold>Spinal involvement without spinal symptom in gout seems to be rare. However, the relationship of spinal gout to symptoms is poorly understood.<bold>Methods: </bold>Description of the case report.<bold>Results: </bold>Laboratory findings cannot explain his symptoms; however, a computed tomography of the pelvis revealed the presence of space-occupying lesion involving the left side of spine at L5-S1 level, and the later biopsy revealed that was a urate crystal, which help us make the diagnosis of spinal gout.<bold>Conclusion: </bold>Gout can be a cunning disease which has various manifestations, and spinal involvement can be asymptomatic.<bold>Level Of Evidence: </bold>5. [ABSTRACT FROM AUTHOR]