title: Gout affecting the hand and wrist.
abstract: Tophaceous gout in the hand and wrist often presents de novo as the first sign of the disease process in the elderly. Tophaceous material may present in a liquid, pasty, or chalky/granular state. Treatment may be as simple as aspirating the liquid or squeezing out pasty tophaceous material. Other nonsurgical treatment options include lifestyle and dietary modifications and drug therapy. Surgery is often indicated for the patient with significant tendon and joint compromise as well as skin breakdown and for decompression of compressive peripheral neuropathy.
authors.affiliation: Naval Medical Center, San Diego, USA.
authors.forename: Brian T
authors.initials: BT
authors.lastname: Fitzgerald
authors.forename: Arathi
authors.initials: A
authors.lastname: Setty
authors.forename: Chaitanya S
authors.initials: CS
authors.lastname: Mudgal
mesh_terms: D006073:Gout / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D050823:Hand Joints; D006801:Humans; D014955:Wrist Joint