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Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist
Tophi are the visible dermatological signs of gout. A case of tophaceous gout in a middle-aged man with no other metabolic derangement is being presented with multiple tophi on the hands and feet overlying joints as well as on the fingers and toes. We thought it to be of educational value to demonst...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248503/ https://www.ncbi.nlm.nih.gov/pubmed/25484396 http://dx.doi.org/10.4103/0019-5154.143538 |
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author | Verma, Shyam Bhargav, Piyush Toprani, Tushar Shah, Vishal |
author_facet | Verma, Shyam Bhargav, Piyush Toprani, Tushar Shah, Vishal |
author_sort | Verma, Shyam |
collection | PubMed |
description | Tophi are the visible dermatological signs of gout. A case of tophaceous gout in a middle-aged man with no other metabolic derangement is being presented with multiple tophi on the hands and feet overlying joints as well as on the fingers and toes. We thought it to be of educational value to demonstrate needle-like crystals of urate by polarizing microscopy. X-rays of hands and feet showed dramatic destructive changes. The patient presented with mottled hypopigmentation on anterior and posterior knees and dorsa of hands and feet where he applied hot “aankda” leaves and covered them with bandage resulting in irritant dermatitis with postinflammatory hypopigmentation. This proved to be a red herring in this case. |
format | Online Article Text |
id | pubmed-4248503 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-42485032014-12-05 Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist Verma, Shyam Bhargav, Piyush Toprani, Tushar Shah, Vishal Indian J Dermatol Case Report Tophi are the visible dermatological signs of gout. A case of tophaceous gout in a middle-aged man with no other metabolic derangement is being presented with multiple tophi on the hands and feet overlying joints as well as on the fingers and toes. We thought it to be of educational value to demonstrate needle-like crystals of urate by polarizing microscopy. X-rays of hands and feet showed dramatic destructive changes. The patient presented with mottled hypopigmentation on anterior and posterior knees and dorsa of hands and feet where he applied hot “aankda” leaves and covered them with bandage resulting in irritant dermatitis with postinflammatory hypopigmentation. This proved to be a red herring in this case. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4248503/ /pubmed/25484396 http://dx.doi.org/10.4103/0019-5154.143538 Text en Copyright: © Indian Journal of Dermatology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Verma, Shyam Bhargav, Piyush Toprani, Tushar Shah, Vishal Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist |
title | Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist |
title_full | Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist |
title_fullStr | Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist |
title_full_unstemmed | Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist |
title_short | Multiarticular Tophaceous Gout with Severe Joint Destruction: A Pictorial Overview with a Twist |
title_sort | multiarticular tophaceous gout with severe joint destruction: a pictorial overview with a twist |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248503/ https://www.ncbi.nlm.nih.gov/pubmed/25484396 http://dx.doi.org/10.4103/0019-5154.143538 |
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