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Open Access 01-12-2011 | Case report

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

Authors: Evangelos Falidas, Efstathios Rallis, Vasiliki-Kalliopi Bournia, Stavros Mathioulakis, Emmanouil Pavlakis, Constantinos Villias

Published in: Journal of Medical Case Reports | Issue 1/2011

Abstract

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.

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Title: Multiarticular chronic tophaceous gout with severe and multiple ulcerations: a case report
Authors: Evangelos Falidas
Efstathios Rallis
Vasiliki-Kalliopi Bournia
Stavros Mathioulakis
Emmanouil Pavlakis
Constantinos Villias
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-5-397

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

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

Abstract

Introduction

Case presentation

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

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