Gouty tophi
نویسندگان
چکیده
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.
منابع مشابه
Unusual Dermatological Manifestations of Gout: Review of Literature and a Case Report
BACKGROUND Gouty panniculitis is a rare clinical manifestation of gout, characterized by deposits of monosodium urate crystals in the hypodermis. Our aim was to describe atypical and rare clinical presentations of gouty tophi. METHODS We searched relevant English and Spanish literature of unusual gout manifestations using the following keywords: giant, gout, panniculitis, gouty panniculitis, ...
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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...
متن کاملGouty Tophi in the Penis: A Case Report and Review of the Literature
Gout is a metabolic disease characterized by hyperuricemia and the deposition of monosodium urate crystals in different anatomical locations. We report the case of a 61-year-old man who received consultation for gouty tophi in the penis, which is an unusual location for this type of pathology, that was resolved with the surgical removal of the tophi. We provide a review on gout and its treatmen...
متن کاملFinger pad tophi in a patient with Raynaud phenomenon
MSU: monosodium urate ULT: urate-lowering therapy INTRODUCTION The natural history of gout includes 4 progressive stages (asymptomatic hyperuricemia, acute arthritic attacks, intercritical gout, and chronic gouty arthritis). Asymptomatic hyperuricemia is characterized by elevated serum urate. Deposition of monosodium urate (MSU) crystals in articular and periarticular tissues then instigates ac...
متن کاملFibrosarcoma arising from gouty tophi: report of a unique case and review of literature.
Fibrosarcoma is a malignant mesenchymal tumor. To the author's best knowledge, no previous case of fibrosarcoma arising from gouty tophi has been reported. Here we reported the first case of fibrosarcoma arising from gouty tophi. A case of 58-year-old man was presented with a mass with ulcer and infection in the second joint of left middle finger for 2 months, with long standing gouty tophi. Th...
متن کاملLimited 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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