Multiarticular chronic tophaceous gout with severe and multiple ulcerations: A case report

被引：16

作者：

Falidas E. ^{[1
]}

Rallis E. ^{[2
]}

Bournia V.-K. ^{[3
]}

Mathioulakis S. ^{[1
]}

Pavlakis E. ^{[1
]}

Villias C. ^{[1
]}

机构：

[1] First Department of Surgery, 417 NIMTS Veterans Administration Hospital of Athens, Athens, 11521

[2] Department of Dermatology

[3] Department of Rheumatology

来源：

Journal of Medical Case Reports | / 5卷 / 1期

关键词：

Uric Acid; Gout; Serum Uric Acid; Hyperuricemia; Uric Acid Level;

D O I：

10.1186/1752-1947-5-397

中图分类号：

学科分类号：

摘要：

Introduction. Gout is a common inflammatory arthritis caused by articular precipitation of monosodium urate crystals. It usually affects the first metatarsophalangeal joint of the foot and less commonly other joints, such as wrists, elbows, knees and ankles. Case presentation. We report the case of a 75-year-old Caucasian man with tophaceous multiarticular gout, soft-tissue involvement and ulcerated tophi on the first metatarsophalangeal joint of the left foot, on the first interphalangeal joint of the right foot and on the left thumb. Conclusion: Ulcers due to tophaceous gout are currently uncommon considering the positive effect of pharmaceutical treatment in controlling hyperuricemia. Surgical treatment is seldom required for gout and is usually reserved for cases of recurrent attacks with deformities, severe pain, infection and joint destruction. © 2011 Falidas et al; licensee BioMed Central Ltd.

引用

共 17 条

[11]

Khandpur S., Minz A.K., Sharma V.K., Chronic tophaceous gout with severe deforming arthritis, Indian J Dermatol Venereol Leprol, 76, pp. 69-71, (2010)

[12]

Kumar S., Gow P., A survey of indications, results and complications of surgery for tophaceous gout, N Z Med J, 115, (2002)

[13]

Lee S.S., Sun I.F., Lu Y.M., Chang K.P., Lai C.S., Lin S.D., Surgical treatment of the chronic tophaceous deformity in upper extremities - The shaving technique, J Plast Reconstr Aesthet Surg, 62, pp. 669-674, (2009)

[14]

Tripoli M., Falcone A.R., Mossuto C., Moschella F., Different surgical approaches to treat chronic tophaceous gout in the hand: Our experience, Tech Hand Up Extrem Surg, 14, pp. 187-190, (2010)

[15]

Lee J.H., Park J.Y., Seo J.W., Oh D.Y., Ahn S.T., Rhie J.W., Surgical treatment of subcutaneous tophaceous gout, J Plast Reconstr Aesthet Surg, 63, pp. 1933-1935, (2010)

[16]

Sener E.E., Guzel V.B., Takka S., Surgical management of tophaceous gout in the hand, Archives of Orthopaedic and Trauma Surgery, 120, 7-8, pp. 482-483, (2000)

[17]

Palmieri B., Heterologous collagen in wound healing: A clinical study, Int J Tissue React, 14, pp. 21-25, (1992)

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