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Gram staining and culture were negative.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The diagnosis of chronic destructive tophaceous gout was established, and treatment with allopurinol and colchicine was initiated. Furthermore, surgical excision and debridement of the tophi was performed. He was advised to avoid purine-rich foods and alcohol. Six months following initial presentation, clinical and laboratory improvement was observed.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The development of intraarticular tophi is characterized by chronic destructive articular involvement and is extremely difficult to treat. The appearance of intraarticular tophi on CT is quite specific. 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Journal Information
Vol. 158. Issue 10.
Pages 502 (May 2022)
Vol. 158. Issue 10.
Pages 502 (May 2022)
Image in medicine
Tophaceous gout with bone destruction
Gota tofácea con destrucción ósea
Sadettin Uslu
Department of Rheumatology, Ömer Halisdemir University Bor Physical Medicine and Rehabilitation, Training and Research Hospital, Niğde, Turkey
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