Fingertip tophi without gouty arthritis.
We report 2 patients without a history of acute gouty arthritis showing tophi located only on the fingertips, an unusual location. A review of the literature found a few similar reports; these patients might represent a subgroup of gout characterized by: (1) elderly patients, from the 7th to 9th decades; (2) hyperuricemia; (3) absence of a history of acute gouty arthritis; (4) tophi in the fingertips or fingerpads; (5) chronic renal failure, and (6) all taking drugs or suffering from a disease that affects urate renal excretion.
López Redondo
M J
MJ
Department of Dermatology, Hospital Universitario San Carlos, Madrid, Spain.
Requena
L
L
Macía
M
M
Schoendorff
C
C
Sánchez Yus
E
E
Robledo
A
A
D000368:Aged; D005260:Female; D005385:Fingers; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000209:etiology / Q000378:metabolism; D006801:Humans; D008297:Male; D014527:Uric Acid / Q000032:analysis
D014527:Uric Acid