Limited knee joint range of motion due to invisible gouty tophi

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Limited knee joint range of motion due to invisible gouty tophi.

OBJECTIVES Tophi deposits are a well-known cause of joint destruction, gouty nephropathy and spinal cord compression. This study reports another major complication of gout, namely tophi deposition causing limited knee joint excursion. METHODS Seven gout patients with limited knee joint excursion owing to tophi deposition were studied to reveal clinical features and magnetic resonance imaging ...

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Amputation of the first metatarsophalangeal joint due to a giant gouty tophi

RATIONALE The first metatarsophalangeal joint (MTP1) is the most frequent site of gouty tophi. We report an unusual case with a giant skin-perforating tophi. This is the first case of gouty tophi at MTP1 which accepts surgical debulking and amputation. PATIENT CONCERNS A 42-year-old man presented with a seven-year history of gout and a giant tophi at MTP1. The patient was referred to hospital...

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Gouty tophi

Gouty tophi presenting as multiple large periarticular masses could be mistaken for rheumatoid nodules, neoplasm, neurofibroma, or infection. Aspiration of synovial fluid from inflamed joints or examination of whitish material expressed though breaks in skin usually assists with the diagnosis of gout.

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Cubital tunnel syndrome secondary to gouty tophi: A case report.

Gout is a chronic rheumatic disease resulting from accumulation of monosodium urate crystals in tissues. The most important risk factor for the disease is hyperuricaemia. Precipitation of uric acid in the joint in the form of monosodium urate crystals is the main factor responsible for triggering attacks of arthritis. Tophi occur as a result of urate crystals that precipitate into joints and su...

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Pulmonic regurgitation due to valvular tophi.

Documented cardiac tophi are rare and have not previously been reported to cause clinically manifest valvular disease. A 31-year-old male with complex cyanotic congenital heart disease (Taussig-Bing anomaly) and secondary tophaceous gouty arthritis is described. Terminally, he presented with clinical evidence of a brain abscess and a new semilunar regurgitant murmur. Two-dimensional echocardiog...

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ژورنال

عنوان ژورنال: Rheumatology

سال: 2003

ISSN: 1460-2172

DOI: 10.1093/rheumatology/keg478