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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 3/2008

01-07-2008 | Case Report

Atypical presentation of tophaceous gout in the hand

Authors: Marc C. Swan, Roderick Dunn

Published in: European Journal of Plastic Surgery | Issue 3/2008

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Abstract

Gout is the commonest crystal-induced arthropathy. Recognised for millennia, it classically affects the first metatarsophalangeal joint of the foot. It may also affect the hand, particularly in cases of chronic tophaceous gout. An unusual case of acute tophaceous gout affecting an adult male is presented whereby the patient presented with ulcerated gouty tophi of his dominant hand. A multidisciplinary management approach was adopted, which resulted in complete resolution of the patient’s symptoms with an excellent functional outcome.
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Klippel JH, Dieppe P, Brooks PM (1994) Rheumatology. Mosby, St. Louis, MO
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Mockford BJ, Kincaid RJ, Mackay I (2003) Carpal tunnel syndrome secondary to intratendinous infiltration by tophaceous gout. Scand J Plast Reconstr Surg Hand Surg 37(3):186–187PubMedCrossRef
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Mudgal CS (2006) Management of tophaceous gout of the distal interphalangeal joint. J Hand Surg [Br] 31(1):101–103 Feb
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Metadata
Title
Atypical presentation of tophaceous gout in the hand
Authors
Marc C. Swan
Roderick Dunn
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
European Journal of Plastic Surgery / Issue 3/2008
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-008-0215-5

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