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Review
. 2022 May;75(5):216-219.

Erosive Tophaceous Gouty Arthropathy of the Hand: A Case Report

Robert E Van Demark Jr  1 , Justin Brown  2 , Meredith Hayes  3   4 , Matthew Hayes  3   4 , Vanessa J S Smith  1
Affiliations
  • PMID: 35724351
Review

Erosive Tophaceous Gouty Arthropathy of the Hand: A Case Report

Robert E Van Demark Jr et al. S D Med. 2022 May.

Abstract

The presence of tophaceous gout in the hand is a classic finding seen in uncontrolled gout. Occasionally gouty tophi can be the initial physical finding in asymptomatic hyperuricemia. Composed of monosodium urate (MSU) crystals, gouty tophi can cause significant soft tissue and joint pathology. In addition, tophaceous gout and hyperuricemia are associated with increased mortality. We present a patient with tophaceous gout causing erosive arthropathy of the proximal interphalangeal (PIP) joint. The diagnosis and treatment for tophaceous gout is reviewed.

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