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Case Reports
. 2024 Jun 11;12(6):e9033.
doi: 10.1002/ccr3.9033. eCollection 2024 Jun.

Tophaceous gout

Durga Neupane  1 , Nimesh Lageju  1 , Lokesh Shekher Jaiswal  2 , Narendra Pandit  3 , Asim Mahat  1 , Saransh Ghimire  4 , Upendra Pokhrel  5 , Sefali Koirala  6
Affiliations
Case Reports

Tophaceous gout

Durga Neupane et al. Clin Case Rep. .

Abstract

Hyperuricemic patients (≥7.8 mg/dL) can develop polyarticular tophaceous gout from intermittent arthritis if untreated. Acute flares and tophi development can be avoided by lowering blood urate levels with xanthine oxidase inhibitors.

Keywords: allopurinol; gout; hyperuricemia; monosodium urate; tophi.

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Figures

FIGURE 1
FIGURE 1
Multiple swellings of the proximal and middle phalanges along with metacarpophalangeal joints of both hands.
FIGURE 2
FIGURE 2
Multiple swellings involving 1st and 5th metatarsophalangeal joints and ankle joints of both feet.
See this image and copyright information in PMC

References

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    1. Falidas E, Rallis E, Bournia VK, Mathioulakis S, Pavlakis E, Villias C. Multiarticular chronic tophaceous gout with severe and multiple ulcerations: a case report. J Med Case Rep. 2011;5:397. doi:10.1186/1752-1947-5-397 - DOI - PMC - PubMed

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