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Images in Clinical Medicine

Kim Eagle, M.D., Editor

Tophaceous Gout

Daniel A. Wuthrich, M.D., and Arthur L. Lebowitz, M.D.

N Engl J Med 1995; 332:646March 9, 1995

Article

Figure 1 Deforming gouty arthritis is evident in a 39-year-old woman who has had anorexia nervosa since the age of 15. Attacks of acute arthritis began at the age of 23; crystals of monosodium urate monohydrate were found in the joints during those attacks. The multiple cutaneous nodules on the distal aspect of the index finger are tophaceous deposits of monosodium urate crystals. Tophi first appeared when the patient was 24.

Kim Eagle, M.D.

Daniel A. Wuthrich, M.D.
University of Washington, Seattle, WA 98195

Arthur L. Lebowitz, M.D.
Boston University Medical Center, Boston, MA 02118

Citing Articles (1)

Citing Articles

  1. 1

    Marc C. Swan, Roderick Dunn. (2008) Atypical presentation of tophaceous gout in the hand. European Journal of Plastic Surgery 31:3, 139-141
    CrossRef