Multiarticular chronic tophaceous gout with severe and multiple ulcerations: a case report
2011
Chronic Tophaceous Gout with Ulcerations: A Case Report
Sample size: 1
publication
Evidence: moderate
Author Information
Author(s): Falidas Evangelos, Rallis Efstathios, Bournia Vasiliki-Kalliopi, Mathioulakis Stavros, Pavlakis Emmanouil, Villias Constantinos
Primary Institution: 417 NIMTS Veterans Administration Hospital of Athens, Greece
Conclusion
Ulcers due to tophaceous gout are uncommon, but aggressive treatment can lead to healing.
Supporting Evidence
- The patient had a long-standing history of tophaceous gout with recurrent arthritis.
- Laboratory tests showed elevated leukocyte count and serum uric acid levels.
- Three ulcers healed completely within 8, 10, and 40 days after treatment.
Takeaway
A 75-year-old man had painful sores from gout, but after treatment, his sores healed up nicely.
Methodology
The patient was treated with antibiotics, NSAIDs, and underwent surgical debridement.
Limitations
The patient refused to comply with the prescribed uric acid lowering regimen.
Participant Demographics
75-year-old Caucasian man.
Digital Object Identifier (DOI)
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