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tophus |
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tophus /to·phus/ (to´fus) pl. to´phi [L.] a deposit of sodium urate in the tissues about the joints in gout, producing a chronic, foreign-body inflammatory response.
Tophus (plural, tophi) A chalky deposit of a uric acid compound found in gout. Tophi occur most frequently around joints and in the external ear. Mentioned in: Gout
tophus [tō′fəs] pl. tophi Etymology: L, tufa, porous rock a calculus containing sodium urate that develops in fibrous tissue around joints, typically in patients with gout. -tophaceous, adj. tophus [to´fus] (L.) 1. a chalky deposit of sodium urate occurring in gout; tophi form most often around the joints in cartilage, bone, bursae, and subcutaneous tissue and in the external ear, producing a chronic, foreign-body inflammatory response. 2. dental calculus. ![]() Tophus. Typical appearance of tophi, which are common in chronic gout, shown on an index finger. From Ignatavicius and Workman, 2000. tophus syphili´ticus syphilitic node.
tophus pl. tophi [L.] 1. a chalky deposit of sodium urate occurring in gout; tophi form most often around the joints in cartilage, bone, bursae and subcutaneous tissue. 2. dental calculus.
tophus The pathognomonic lesion of gout, which appears grossly when preserved in alcohol or other non-aqueous solution as a nodular mass of white chalky, pasty material composed of crystalline and amorphous urates–eg, monosodium urate
monohydrates, surrounded by mononuclear cells, fibroblasts and a foreign body-type giant cell reaction with epithelioid histiocytes. See Gouty toe.
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Suspected tophus (deposit or accumulation of uric acid crystals under the skin) Laboratory factors such as ? The hyperintense signal intensity seen on T2W spin-echo images may reflect the high protein content in the amorphous center of the tophus, while the decreased signal intensity may indicate regions of calcification within the tophus, fibrous tissue and crystals, hemosiderin deposition, or proton immobility. Although the rapid decline in his ambulatory status may not be explained completely by the chronicity of tophaceous gout, it does perhaps suggest that the tophus was undergoing a phase of acute inflammation, with cellular infiltration and inflammatory exudate formation, producing pain and resulting in a critical size increase, which was sufficient enough to produce clinical evidence of cord compression. |
tophus |
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