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Polyarticular symmetric tophaceous joint inflammation as the initial presentation of gout
Journal article   Peer reviewed

Polyarticular symmetric tophaceous joint inflammation as the initial presentation of gout

Rade B. Vukmir, Larry Weiss and Vincent P. Verdile
The American journal of emergency medicine, v 8(1), pp 43-45
1990
PMID: 2293834

Abstract

Polyarticular tophaceous gout
A 76-year-old woman suffered from bilateral distal index finger pain and swelling. The patient had been intially treated with antibiotics for herpetic whitlow complicated by a secondary bacterial infection. Gout was diagnosed through clinical history, physical examination and identification of monosodium urate crystals in the joint aspirate. Gout appearing as polyarticular, symmetric tophi involving the periungual region and distal interphalangeal joint has not been previously described.

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12 citations in Scopus

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Emergency Medicine
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