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Year : 2015  |  Volume : 4  |  Issue : 3  |  Page : 195-199

Pandigital and subcutaneous chronic tophaceous gout with acute renal failure

Department of General Medicine, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India

Correspondence Address:
J Shashibhushan
Department of General Medicine, Vijayanagara Institute of Medical Sciences, Bellary - 583 104, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-344X.160900

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Gout (Podagra) is a disorder of purine metabolism characterized by the deposition of monosodium urate crystals in joints and connective tissue and risk of deposition in kidney interstitium. Although acute gouty arthritis is familiar for most physicians, chronic gouty arthritis, which affects small joints of the hands can be difficult to distinguish from other common interphalangeal arthropathies such as rheumatoid arthritis (RA), psoriatic arthritis, and erosive osteoarthritis because of very similar presentations. Here we describe a 60-year-old male diabetic patient with pandigital, extensive subcutaneous tophaceous gout presented with uremic encephalopathy and joint deformities. He had been treated mistakenly as RA for 10 years.

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