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

作者信息

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

机构信息

First Department of Surgery, 417 NIMTS Veterans Administration Hospital of Athens, Monis Petraki 10-12, Athens, 11521,Greece.

出版信息

J Med Case Rep. 2011 Aug 19;5:397. doi: 10.1186/1752-1947-5-397.

DOI:10.1186/1752-1947-5-397
PMID:21854566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3170636/
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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/edb5f7386b2b/1752-1947-5-397-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/3f91a3a1110c/1752-1947-5-397-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/1f588d2e515e/1752-1947-5-397-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/8033aff9d0f4/1752-1947-5-397-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/5dc5176843db/1752-1947-5-397-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/1bd134c69015/1752-1947-5-397-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/4000d076dee0/1752-1947-5-397-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/edb5f7386b2b/1752-1947-5-397-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/3f91a3a1110c/1752-1947-5-397-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/1f588d2e515e/1752-1947-5-397-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/8033aff9d0f4/1752-1947-5-397-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/5dc5176843db/1752-1947-5-397-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/1bd134c69015/1752-1947-5-397-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/4000d076dee0/1752-1947-5-397-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f36/3170636/edb5f7386b2b/1752-1947-5-397-7.jpg

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[10]
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本文引用的文献

[1]
Tophaceous gout of the odontoid process causing glossopharyngeal, vagus, and hypoglossal nerve palsies.

Int J Rheum Dis. 2010-8-30

[2]
Clinical practice. Gout.

N Engl J Med. 2011-2-3

[3]
Chronic gout: epidemiology, disease progression, treatment and disease burden.

Curr Med Res Opin. 2010-11-4

[4]
Ulcerated tophaceous gout.

Int Wound J. 2010-10

[5]
Different surgical approaches to treat chronic tophaceous gout in the hand: our experience.

Tech Hand Up Extrem Surg. 2010-9

[6]
Subconjunctival urate crystals: a case report.

Cornea. 2010-7

[7]
Surgical treatment of subcutaneous tophaceous gout.

J Plast Reconstr Aesthet Surg. 2010-11

[8]
Tophaceous gout: an unusual cause of multiple fractures.

Scand J Rheumatol. 2010

[9]
Chronic tophaceous gout with severe deforming arthritis.

Indian J Dermatol Venereol Leprol. 2010

[10]
Multiple extensor tendon ruptures caused by tophaceous gout.

Mod Rheumatol. 2009-12-16

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