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- Title
Arthritis mutilans: an unusual presentation of chronic tophaceous gout.
- Authors
Sankar, J; Prasad, C B; Mathew, J; Dhir, V; Jain, S
- Abstract
Aspirate from the tophi revealed numerous negatively birefringent needle-shaped crystals under polarized microscope suggestive of monosodium urate deposition (Figure 1C), thus confirming the diagnosis of chronic polyarticular tophaceous gout. A 56-year-old male, renal transplant recipient presented with history of acute onset painful swelling of small joints of his right hand. On examination, multiple interphalangeal and metacarpophalangeal joints of the right hand were tender with erythematous changes of overlying skin.
- Subjects
GOUT; ARTHRITIS; JOINTS (Anatomy); JOINT diseases; METACARPOPHALANGEAL joint; PSORIATIC arthritis
- Publication
QJM: An International Journal of Medicine, 2023, Vol 116, Issue 4, p294
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcac257