EN PL
CASE REPORT
Tophi – surgical treatment
 
More details
Hide details
 
Submission date: 2016-09-16
 
 
Final revision date: 2016-09-27
 
 
Acceptance date: 2016-10-13
 
 
Online publication date: 2016-11-28
 
 
Publication date: 2016-10-31
 
 
Reumatologia 2016;54(5):267-272
 
KEYWORDS
TOPICS
ABSTRACT
Gout is an inflammatory joint disease associated with deposition of monosodium urate crystals in the bones forming the joints, in periarticular tissues and in other organs. The disease is one of the most frequent causes of disability.
This paper presents the case of a 57-year-old male patient treated for generalised gout. A “clinical mask” suggesting another disease was the cause of making the correct diagnosis only six years after the occurrence of the first manifestations.
The patient, with high values of inflammatory markers, severe pain and advanced joint destruction, was given an aggressive anti-inflammatory treatment. The unsatisfactory effect of the conservative treatment forced the authors to perform surgical resection of the gouty nodules in the hands. After several operations the function of the hand joints operated on, appearance of the hands and the quality of the patient’s life improved significantly.
 
REFERENCES (17)
1.
Dalbeth N, House ME, Gamble GD, et al. Population-specific influence of SLC2A9 genotype on the acute hyperuricaemic response to fructose load. Ann Rheum Dis 2013; 72: 1868-1873.
 
2.
McAdams-DeMarco M, Maynard JW, Baer AN, et al. A urate gene-by diuretic interaction and gout risk in participants with hypertension: results from the ARIC study. Ann Rheum Dis 2013; 72: 701-706.
 
3.
Singh JA, Reddy SG, Kundukulam J. Risk factors for gout and prevention: a systemic review of the literature. Curr Opin Rheumatol 2001; 23: 192-202.
 
4.
Smith E, Hoy D, Cross M, et al. The global burden of gout: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 2014; 73: 1470-1476.
 
5.
Dalbeth N, Stamp L. Hyperuricemia and gout: time for a new staging system? Ann Rheum Dis 2014; 73: 1598-1600.
 
6.
Richette P, Clerson P, Perissin L et al. Revisiting comorbidities in gout: a cluster analysis. Ann Rheum Dis 2015; 74: 142-147.
 
7.
Neogi T, Jansen TLThA, Dalbeth N, et al. 2015 Gout classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborate initiative. Ann Rheum Dis 2015; 74: 1789-1798.
 
8.
Kasper IR, Juriga MD, Giurini JM, et al. Treatment of tophaceous gout: When medication is not enough. Semin Arthritis Rheum 2016; 45: 669-674.
 
9.
Łaszczyca M, Kusz B, Kusz D. Występowanie licznych guzków dnowych w nietypowym przebiegu dny moczanowej – opis przypadku. Kwart Ortop 2013; 1: 128-137.
 
10.
Casangrade P. Surgery for tophaeceous gout. Semin Arthritis Rheum 1971; 1: 262-273.
 
11.
Straub IR, Smith JW, Carpenter GK, et al. The surgery of gout in the upper extremity. J Bone Joint Surg 1961; 43: 731-774.
 
12.
Larmon WA, Kurtz JF. The surgical management of chronic tophaceous gout. J Bone Joint Surg Am 1958; 40A: 743-772.
 
13.
Kumar S, Gow P. A survey of indications, results and complications of surgery for tophaceous gout. J N Z Med Assoc 2002; 115: 1158.
 
14.
Zimmermann-Górska I. Kliniczne maski związane z chorobami reumatycznymi wywołanymi przez kryształy. Reumatologia 2006; 44: 320-323.
 
15.
Schapira D, Stahl S, Izhak OB, et al. Chronic tophaceous gouty arthritis mimicking rheumatoid arthritia. Semin Arthritis Rheum 1999; 29: 56-63.
 
16.
Hausch R, Wilkerson M, Singh E, et al. Tophaceous gout of the thoracic spine presenting as back pain and fever. J Clin Rheumatol 1999; 5: 335-341.
 
17.
Garber M. Treating asymptomatic hyperuricemia could lower risk of developing chronic conditions. The Rheumatologist, 12 August 2016, online ISSN 1931-3209.
 
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
eISSN:2084-9834
ISSN:0034-6233
Journals System - logo
Scroll to top