A Case of Multiple Gouty Tophi with Bone Destruction

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  • OHGA Yasunori
    Department of Dermatology, Faculty of Medicine, Fukuoka University
  • ITO Kotaro
    Department of Dermatology, Faculty of Medicine, Fukuoka University
  • IMAFUKU Shinichi
    Department of Dermatology, Faculty of Medicine, Fukuoka University

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Other Title
  • 骨破壊を伴った多発性痛風結節の 1 例
  • 症例 骨破壊を伴った多発性痛風結節の1例
  • ショウレイ ホネ ハカイ オ トモナッタ タハツセイ ツウフウ ケッセツ ノ 1レイ

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Abstract

A 61-year-old male visited our clinic who had gout for the past 20 years and was not treated. Fifteen years previously,subcutaneous nodules appeared in both feet and gradually increased in size over time. Subcutaneous nodules also appeared in the fingers of both hands and the left elbow, and later in the left knee. A skin biopsy was performed and the nodules were diagnosed as gouty tophi. Radiography of the fingers revealed that bone destruction had occurred at the sites of the subcutaneous nodules. When the severity of gouty tophi increases, they may cause bone and joint destruction. Evaluation of bone destruction is important in cases of chronic gouty tophus.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 77 (3), 217-219, 2015

    Western Division of Japanese Dermatological Association

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