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Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture
A 45-year-old man presented with painless subcutaneous masses bilaterally on his hands and loss of motion or contracture of the fingers. Initially, drug therapy to reduce the serum uric acid was administered and was expected to reduce the tophi. However, during observation at the clinic, spontaneous...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750497/ https://www.ncbi.nlm.nih.gov/pubmed/29423326 http://dx.doi.org/10.1155/2017/7201312 |
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author | Tobimatsu, Haruki Nakayama, Masanori Sakuma, Yu Imamura, Hitoshi Yano, Koichiro Itagaki, Hiroko Ikari, Katsunori |
author_facet | Tobimatsu, Haruki Nakayama, Masanori Sakuma, Yu Imamura, Hitoshi Yano, Koichiro Itagaki, Hiroko Ikari, Katsunori |
author_sort | Tobimatsu, Haruki |
collection | PubMed |
description | A 45-year-old man presented with painless subcutaneous masses bilaterally on his hands and loss of motion or contracture of the fingers. Initially, drug therapy to reduce the serum uric acid was administered and was expected to reduce the tophi. However, during observation at the clinic, spontaneous rupture of an extensor tendon occurred, and surgical repair of the tendon and resection of the masses were performed. Surgical exploration of the right hand showed hypertrophic white-colored crystal deposits that both surrounded and invaded the extensor digitorum communis of the index finger, which was ruptured. Histopathologic examination of the specimen demonstrated findings consistent with gouty tophi. Tophaceous gout can induce a rupture of tendons during clinical observation, and surgical resection of the tophi might be needed to prevent ruptures. |
format | Online Article Text |
id | pubmed-5750497 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-57504972018-02-08 Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture Tobimatsu, Haruki Nakayama, Masanori Sakuma, Yu Imamura, Hitoshi Yano, Koichiro Itagaki, Hiroko Ikari, Katsunori Case Rep Orthop Case Report A 45-year-old man presented with painless subcutaneous masses bilaterally on his hands and loss of motion or contracture of the fingers. Initially, drug therapy to reduce the serum uric acid was administered and was expected to reduce the tophi. However, during observation at the clinic, spontaneous rupture of an extensor tendon occurred, and surgical repair of the tendon and resection of the masses were performed. Surgical exploration of the right hand showed hypertrophic white-colored crystal deposits that both surrounded and invaded the extensor digitorum communis of the index finger, which was ruptured. Histopathologic examination of the specimen demonstrated findings consistent with gouty tophi. Tophaceous gout can induce a rupture of tendons during clinical observation, and surgical resection of the tophi might be needed to prevent ruptures. Hindawi 2017 2017-12-20 /pmc/articles/PMC5750497/ /pubmed/29423326 http://dx.doi.org/10.1155/2017/7201312 Text en Copyright © 2017 Haruki Tobimatsu et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tobimatsu, Haruki Nakayama, Masanori Sakuma, Yu Imamura, Hitoshi Yano, Koichiro Itagaki, Hiroko Ikari, Katsunori Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
title | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
title_full | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
title_fullStr | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
title_full_unstemmed | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
title_short | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
title_sort | multiple tophaceous gout of hand with extensor tendon rupture |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750497/ https://www.ncbi.nlm.nih.gov/pubmed/29423326 http://dx.doi.org/10.1155/2017/7201312 |
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