Erosive Tophaceous Gouty Arthropathy of the Hand: A Case Report.
Journal: South Dakota Medicine : The Journal Of The South Dakota State Medical Association
Published:
Abstract
The presence of tophaceous gout in the hand is a classic finding seen in uncontrolled gout. Occasionally gouty tophi can be the initial physical finding in asymptomatic hyperuricemia. Composed of monosodium urate (MSU) crystals, gouty tophi can cause significant soft tissue and joint pathology. In addition, tophaceous gout and hyperuricemia are associated with increased mortality. We present a patient with tophaceous gout causing erosive arthropathy of the proximal interphalangeal (PIP) joint. The diagnosis and treatment for tophaceous gout is reviewed.
Authors
Robert Van Demark, Justin Brown, Meredith Hayes, Matthew Hayes, Vanessa J Smith