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Case Report
 
Polyarticular tophaceous gouty arthritis: A case report
Sheikh Javeed Ahmad1, Sumyra Khurshid2
1Departments of Physical Medicine and Rehabilitation, Sher I Kashmir Institute of Medical Sciences, Srinagar, India.
2Departments of Pathology, Sher I Kashmir Institute of Medical Sciences, Srinagar, India.

doi:10.5348/ijcri-2013-10-378-CR-7

Address correspondence to:
Sheikh Javeed Ahmad
Departments of Physical Medicine and Rehabilitation
Sher I Kashmir Institute of Medical Sciences
Srinagar 190011
India
Email: javeed.sk@rediffmail.com

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How to cite this article:
Ahmad SJ, Khurshid S. Polyarticular tophaceous gouty arthritis: A case report. International Journal of Case Reports and Images 2013;4(10):554–558.


Abstract
Introduction: Gout is a disorder of purine metabolism, affecting men 40–50 years of age resulting in recurrent bouts of arthritis and subcutaneous tophi in patients with long standing disease.
Case Report: We report a case of a 45-year-old male with symmetric, deforming polyarticular arthritis, affecting all the joints of hands, wrists and feet with diffuse subcutaneous nodules over his body. The radiographic findings of the patient were atypical.
Conclusion: Following clinical evaluation and additional investigations, the patient received a diagnosis of chronic tophaceous gouty arthritis mimicking rheumatoid arthritis.

Keywords: Gout, Arthritis, Tophi, Hand, Foot


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Author Contributions
Sheikh Javeed Ahmad – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sumyra Khurshid – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Sheikh Javeed Ahmad et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)