Multiple gouty tophi over hands-A Case Report
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 2
Abstract
Gout is derived from gutta (Latin for drop), as it was believed in the 13th century that poison falling in drops into the affected joint caused gout. But, Gout is actually result of inflammatory response to deposition of monosodium urate crystals (MSU) secondary to hyperuricaemia. Normal uric acid levels are between 3.4-7.0mg/dl. Hyperuricemia is caused by either increased production or decreased excretion of uric acid. Recurrent acute gout develops chronic tophaceous gout characterized by tophi (macroscopic aggregates of MSU) in soft tissues. Gout presents with joint pain, mainly first metatarsophalangeal joint, tophi and redness of skin over the joints. The tophi usually resolve with medication but some giant swellings are
Authors and Affiliations
Sathya Vamsi Krishna, Mallikarjuna Swamy B, Thomas Issac
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