title: A case of female premenopausal tophaceous gout requiring surgical management.
abstract: We report a case of tophaceous gout in a 32-year-old woman who had suffered from anorexia nervosa since the age of 15. She had been taking a diuretic, mainly furosemide, to lose weight since she was 18. She was referred for orthopedic surgery because of a tophus at her right metatarsophalangeal joint. Because of a discharging sinus associated with the tophaceous deposits, surgery was performed. Use of the diuretic was stopped after surgery and the serum uric acid concentration returned to normal. It was thought that long-term abuse of a diuretic induced the tophaceous gout in this premenopausal woman.
authors.affiliation: Fujikoshi-Hospital Orthopedic Surgery, 11-65 Ishigane, Toyama 930-0964, Japan. sna08804@nifty.com
authors.forename: Fujio
authors.initials: F
authors.lastname: Nakazawa
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Ishihara
authors.forename: Koudai
authors.initials: K
authors.lastname: Tanaka