gouty, recurrent, acute polyarthritis involving the finger joints. She also had numerous small subcutaneous tophi in her hands. The patient was intolerant to allopurinol and had mild renal ...
just over 15% of participants with gout for less than 10 years had tophaceous disease. Creatinine clearance was the major factor independently associated with early presentation with tophi.
The already formed gouty tophi on the tips and joints of the fingers and toes nevertheless persisted. Skin ulcerations caused by gouty tophi were found on the left third toe and the right second ...