Tophi as first manifestation of gout

被引：30

作者：

Koley, Sankha ^{[1
,3
]}

Salodkar, Atul ^{[4
]}

Choudhary, Sanjiv ^{[4
]}

Bhake, Arvind ^{[5
]}

Singhania, Kailash ^{[6
]}

Choudhury, Manoj ^{[2
]}

机构：

[1] Dept Dermatol, Bankura, W Bengal, India

[2] Dept Pathol, Bankura, W Bengal, India

[3] Sammilani Med Coll, Bankura, W Bengal, India

[4] JNMC Sawangi, Dept Dermatol, Wardha, Maharashtra, India

[5] JNMC Sawangi, Dept Pathol, Wardha, Maharashtra, India

[6] JNMC Sawangi, Dept Radiol, Wardha, Maharashtra, India

来源：

INDIAN JOURNAL OF DERMATOLOGY VENEREOLOGY & LEPROLOGY | 2010年 / 76卷 / 04期

关键词：

Tophi; gout; nephrocalcinosis; CLASSIFICATION; DIAGNOSIS; ARTHRITIS;

D O I：

10.4103/0378-6323.66593

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100227 [皮肤病学];

摘要：

Chronic tophaceous gout classically occurs after 10 years or more of recurrent polyarticular gout. However, tophi can also occur as first sign of the disorder. Here we report a 20-year-old male presenting with multiple subcutaneous nodules on bilateral feet and toes, left palm, right elbow, helix of left ear since last one and half year prior to any other manifestation of gout. He was having mild intermittent arthritis since last six months. Fine Needle Aspiration Cytology of one tophus showed monosodium urate crystals, which are pathognomonic for gout. His serum uric acid was normal and ultrasound revealed bilateral nephrocalcinosis. So far as we know, this is the first case report from India, demonstrating tophi as the initial clinical presentation of gout.

引用

页码：393 / 396

页数：4

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