tailieunhanh - báo cáo khoa học: "Multiarticular chronic tophaceous gout with severe and multiple ulcerations: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Multiarticular chronic tophaceous gout with severe and multiple ulcerations: a case report | PR JOURNALOF MEDICAL Ur CASE reports Multiarticular chronic tophaceous gout with severe and multiple ulcerations a case report Falidas et al. BioMed Central Falidas et al. Journal of Medical Case Reports 2011 5 397 http content 5 1 397 19 August 2011 Falidas et al. Journal of Medical Case Reports 2011 5 397 http content 5 1 397 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Multiarticular chronic tophaceous gout with severe and multiple ulcerations a case report 1 2 3 1 1 Evangelos Falidas Efstathios Rallis Vasiliki-Kalliopi Bournia Stavros Mathioulakis Emmanouil Pavlakis and Constantinos Villias 1 Abstract Introduction Gout is a common inflammatory arthritis caused by articular precipitation of monosodium urate crystals. It usually affects the first metatarsophalangeal joint of the foot and less commonly other joints such as wrists elbows knees and ankles. Case presentation We report the case of a 75-year-old Caucasian man with tophaceous multiarticular gout soft-tissue involvement and ulcerated tophi on the first metatarsophalangeal joint of the left foot on the first interphalangeal joint of the right foot and on the left thumb. Conclusion Ulcers due to tophaceous gout are currently uncommon considering the positive effect of pharmaceutical treatment in controlling hyperuricemia. Surgical treatment is seldom required for gout and is usually reserved for cases of recurrent attacks with deformities severe pain infection and joint destruction. Introduction Gout is a common disorder of uric acid metabolism characterized by recurrent episodes of inflammatory arthritis tophaceous soft tissue deposits of monosodium urate crystals uric acid renal calculi and chronic nephropathy. We report the case of a 75-year-old Caucasian man suffering tophaceous multiarticular gout and soft-tissue involvement presenting with ulcerated tophi overlying the first metatarsophalangeal joint of the left foot the first .