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Case Reports
. 1993 Apr;52(4):308-9.
doi: 10.1136/ard.52.4.308.

Rapid development of a tophus following ipsilateral hemiparesis

C F Donegan  1 , P Berman, M Doherty
Affiliations
Case Reports

Rapid development of a tophus following ipsilateral hemiparesis

C F Donegan et al. Ann Rheum Dis. 1993 Apr.

Abstract

An 85 year old man with a longstanding history of non-tophaceous gout developed a single large tophus, unassociated with inflammation, on his paretic leg over a six week period following an acute hemiplegia. The rapidity of tophus formation, its localisation to the paretic limb, and the apparent blunting of the acute inflammatory response represent a previously unreported interaction between gout and neurological deficit.

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