Search results for "Tophaceous gout"

showing 3 items of 3 documents

A case of naturally evolving gout in an elderly man

2012

Gout is a common disorder in adults that can lead to severe organ decline, disability and impaired quality of life due to the formation of periarticular tophi. We report a case of massive tophaceous gout in a 78-year-old man with a 16-year-long history of untreated disease. The patient gradually became disabled, his renal function deteriorated, and he finally died of sepsis. Our case demonstrates that chronic gout not only affects the joints, but is also associated with organ function decline and can, even nowadays, lead to death. © 2011 Elsevier Ireland Ltd.

Malemusculoskeletal diseasesAgingPediatricsmedicine.medical_specialtyHealth (social science)GoutAllopurinolOrgan functionDiseaseTophaceous gout in elderly Renal failure Sepsis HyperuricemiaMethylprednisoloneSeverity of Illness IndexGout SuppressantsTophaceous goutSepsisFatal OutcomeQuality of lifeRenal DialysisChronic goutSepsismedicineHumansHyperuricemiaMobility LimitationAgedbusiness.industryAcute Kidney Injurymedicine.diseaseArthralgiaAnti-Bacterial AgentsGoutSurgeryChronic DiseaseQuality of LifeDrug Therapy CombinationGeriatrics and GerontologyColchicineRespiratory InsufficiencybusinessGerontology
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Tophaceous gout in the elderly: A clinical case review

2012

Gout is the most common cause of arthritis in the elderly. Its incidence among older people has risen worldwide due to an increase in risk factors such as renal diseases, metabolic syndrome, and a diet rich in purines. In older age, tophaceous gout may affect different joints from its classical presentation, due to other concomitant musculoskeletal diseases, but specific data on its epidemiology and clinical aspects in the elderly are limited to a few case reports. The present review focuses on the distinctive aspects of tophaceous gout in the elderly, revisiting all our clinical cases seen from 1990 to December 2011. Our findings indicate that: tophaceous gout can affect several joints in …

Malemusculoskeletal diseasesmedicine.medical_specialtyPediatricsGoutArthritisTophaceous goutRheumatologyRisk FactorsInternal medicineEpidemiologymedicineHumansAgedAged 80 and overSex CharacteristicsArthritis Goutybusiness.industryChronic gout Elderly Gender difference TophiIncidence (epidemiology)General Medicinemedicine.diseasehumanitiesRheumatologyGoutPhysical therapyFemaleMetabolic syndromebusinessSex characteristics
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Different Surgical Approaches to Treat Chronic Tophaceous Gout in the Hand: Our Experience

2010

Chronic tophaceous gout is a disabling erosive arthritis characterized by an elevated serum urate concentration, recurrent attacks of arthritis, and deposits of monosodium urate crystals in synovial fluids. Tophi, ulcerations of the overlying skin, and fissures of the interarticular cartilage may occur in advanced stages, combined with deformities of the joints and decreased active joint flexion and extension. Although the timely use of allopurinol is associated with a decrease in the frequency of deposits of the tophaceous substance, however, surgical management is necessary to restore and improve the cosmesis and joint function, to alleviate symptomatic discomfort, and to reduce the risk …

Malemusculoskeletal diseasesmedicine.medical_specialtyAllopurinolArthritismedicineHumansOrthopedics and Sports MedicineSurgical approachArthritis Goutybusiness.industryCartilageAdvanced stageCosmesisPlastic Surgery ProceduresHandmedicine.diseaseSurgerymedicine.anatomical_structureChronic tophaceous goutChronic DiseaseJoint flexionFemaleSurgerybusinessmedicine.drugTechniques in Hand & Upper Extremity Surgery
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