deposits in knee joints and other areas have occasionally been reported, but detailed clinical information is lacking.
Coexistence of chronic tophaceous
gout and rheumatoid arthritis.
During surgery, tophaceous
gout was present within the tear of the peroneus brevis as well as the attenuated anterior talofibular ligament.
However, more advanced gout, as evidenced by tophi or chronic gouty arthropathy, radiographic changes in erosive or tophaceous
gout, or gout with chronic kidney disease or recurrent uric acid urolithiasis are clear indications for the initiation of urate-lowering pharmacologic therapy.
gout of the spine in a patient with no peripheral tophi: case report and review of the literature.
pseudogout in the knee joint mimicking a soft-tissue tumour: a case report," Journal of Orthopaedic Surgery, vol.
Carpal tunnel syndrome secondary to intratendinous infiltration by tophaceous
In addition, several investigators have described the utility of ultrasound when trying to distinguish between polyarticular tophaceous
gout and RA with rheumatoid nodules when the initial diagnosis is not clear.
Extra-articular bite-like erosions may also be seen in patients with tophaceous
gout which typically develops following recurrent acute attacks, accounts for 10% of all gout cases.
In turn, hyperuricemia promotes the formation of monosodium urate crystals that induce inflammation (acute gouty arthritis) or deposit in tissues (tophaceous
gout), or both.
SAN FRANCISCO -- Dual-energy CT scans showed red-colored uric acid deposits in 20 consecutive patients with clinically obvious tophaceous
gout but not in 10 control subjects with other nongout joint conditions.