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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

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

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Evangelos Falidas, Efstathios Rallis, Vasiliki-Kalliopi Bournia, Stavros Mathioulakis, Emmanouil Pavlakis, Constantinos Villias
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-397) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

EF, ER and SM participated in the sequence alignment, researched sources for the references and drafted the manuscript. EP took the photographs and drafted the manuscript. KVB and CV helped in the interpretation of the photos and helped draft the final version of the manuscript. All authors read and approved the final manuscript.

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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