Kimura Tadashi, Kubota Makoto, Hattori Hidekazu, Saito Mitsuru
Department of Orthopaedic Surgery, The Jikei University School of Medicine, Minato, Tokyo, Japan.
J Orthop Case Rep. 2021 Oct;11(10):73-75. doi: 10.13107/jocr.2021.v11.i10.2476.
Gouty tophi are relatively simple to diagnose because they almost always occur in patients with persistent hyperuricemia. Treatment typically consists mainly of oral medication, and surgical intervention is necessary for only a small number of patients.
We present a case of 66-year-old Japanese man presented with a painful gouty tophus diagnosed by dual-energy computed tomography in the right foot without hyperuricemia that had gradually increased in size over the past 20 years. The tophus was removed and the patient's plantar pain disappeared after surgery and there was no recurrence.
We obtained a favorable outcome through surgical intervention for a gouty tophus of the foot diagnosed by dual-energy computed tomography in a patient without hyperuricemia. Our experience suggests that proactive surgical removal of gouty tophi should be considered for symptomatic cases and to prevent further joint destruction.
痛风石相对容易诊断，因为它们几乎总是出现在持续性高尿酸血症患者中。治疗通常主要包括口服药物，只有少数患者需要手术干预。
我们报告一例66岁日本男性患者，其右脚痛风石经双能计算机断层扫描诊断，无高尿酸血症，在过去20年中逐渐增大且伴有疼痛。痛风石被切除，术后患者足底疼痛消失且未复发。
对于一名经双能计算机断层扫描诊断为足部痛风石且无高尿酸血症的患者，我们通过手术干预取得了良好效果。我们的经验表明，对于有症状的病例，应考虑积极手术切除痛风石以预防进一步的关节破坏。
