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[Surgical therapy of pronounced gout tophi in both hands. Case report]
H Piza-Katzer1, F Kömürcü, A Reining-Festa
1Abteilung für Plastische und Wiederherstellungschirurgie des Krankenhauses Lainz, Wien.
Abstract:
We report an 80-year-old male patient who had been suffering from gouty arthritis for the last seven years, both hands being deformed by multiple tophaceous deposits within soft tissue and bone. Immediate surgical therapy became inevitable when a ruptured tophus led to a severe infection of the right index finger. We describe the surgical procedure as well as the pathological findings and the clinical course.