Acute gouty arthritis as a manifestation of immune reconstitution inflammatory syndrome after initiation of antiretroviral therapy

Acute gouty arthritis as a manifestation of immune reconstitution inflammatory syndrome after initiation of antiretroviral therapy

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Immune reconstitution inflammatory syndrome (IRIS) in HIV-infected subjects initiating antiretroviral therapy most commonly involves new or worsening manifestations of previously subclinical or overt infectious diseases.Reports of non-infectious IRIS are Wok Rings much less common but represent important diagnostic and treatment challenges.We report on a 34-year-old HIV-infected male patient with no history of gout who developed acute gouty arthritis in a single joint Quilts one month after initiating highly active antiretroviral therapy.