Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture
A 45-year-old man presented with painless subcutaneous masses bilaterally on his hands and loss of motion or contracture of the fingers. Initially, drug therapy to reduce the serum uric acid was administered and was expected to reduce the tophi. However, during observation at the clinic, spontaneous...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/7201312 |
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| _version_ | 1832545421323403264 |
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| author | Haruki Tobimatsu Masanori Nakayama Yu Sakuma Hitoshi Imamura Koichiro Yano Hiroko Itagaki Katsunori Ikari |
| author_facet | Haruki Tobimatsu Masanori Nakayama Yu Sakuma Hitoshi Imamura Koichiro Yano Hiroko Itagaki Katsunori Ikari |
| author_sort | Haruki Tobimatsu |
| collection | DOAJ |
| description | A 45-year-old man presented with painless subcutaneous masses bilaterally on his hands and loss of motion or contracture of the fingers. Initially, drug therapy to reduce the serum uric acid was administered and was expected to reduce the tophi. However, during observation at the clinic, spontaneous rupture of an extensor tendon occurred, and surgical repair of the tendon and resection of the masses were performed. Surgical exploration of the right hand showed hypertrophic white-colored crystal deposits that both surrounded and invaded the extensor digitorum communis of the index finger, which was ruptured. Histopathologic examination of the specimen demonstrated findings consistent with gouty tophi. Tophaceous gout can induce a rupture of tendons during clinical observation, and surgical resection of the tophi might be needed to prevent ruptures. |
| format | Article |
| id | doaj-art-21c21f24c87c4aec9b7fcaf2a2134fd9 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-21c21f24c87c4aec9b7fcaf2a2134fd92025-02-03T07:25:51ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/72013127201312Multiple Tophaceous Gout of Hand with Extensor Tendon RuptureHaruki Tobimatsu0Masanori Nakayama1Yu Sakuma2Hitoshi Imamura3Koichiro Yano4Hiroko Itagaki5Katsunori Ikari6Department of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, JapanDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, JapanDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, JapanDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, JapanDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, JapanDepartment of Surgical Pathology, Tokyo Women’s Medical University, 8-1 Kawadacho, Shinjuku-ku, Tokyo 162-8666, JapanDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, JapanA 45-year-old man presented with painless subcutaneous masses bilaterally on his hands and loss of motion or contracture of the fingers. Initially, drug therapy to reduce the serum uric acid was administered and was expected to reduce the tophi. However, during observation at the clinic, spontaneous rupture of an extensor tendon occurred, and surgical repair of the tendon and resection of the masses were performed. Surgical exploration of the right hand showed hypertrophic white-colored crystal deposits that both surrounded and invaded the extensor digitorum communis of the index finger, which was ruptured. Histopathologic examination of the specimen demonstrated findings consistent with gouty tophi. Tophaceous gout can induce a rupture of tendons during clinical observation, and surgical resection of the tophi might be needed to prevent ruptures.http://dx.doi.org/10.1155/2017/7201312 |
| spellingShingle | Haruki Tobimatsu Masanori Nakayama Yu Sakuma Hitoshi Imamura Koichiro Yano Hiroko Itagaki Katsunori Ikari Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture Case Reports in Orthopedics |
| title | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
| title_full | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
| title_fullStr | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
| title_full_unstemmed | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
| title_short | Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture |
| title_sort | multiple tophaceous gout of hand with extensor tendon rupture |
| url | http://dx.doi.org/10.1155/2017/7201312 |
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