title: Severe hip and knee pain in a man with chronic tophaceous gout.
abstract: Gout is a common rheumatologic condition with characteristic clinical presentations during the acute arthritis and chronic tophaceous stages. Because of this, there is a tendency to overlook rare but important conditions which are independent of, but can co-exist with gout. This case of severe hip and knee pain in a patient with tophaceous gout takes the reader on a problem-solving exercise which simulates the analytical processes and decisions made in the clinic.
authors.affiliation: Rheumatology and Clinical Immunology, University of Santo Tomas, Manila, Philippines. tina_tmd@hotmail.com
authors.forename: Maria Cristina C
authors.initials: MC
authors.lastname: Tolin
authors.forename: Sandra V
authors.initials: SV
authors.lastname: Navarra
mesh_terms: D006073:Gout / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D006621:Hip Joint / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D007719:Knee Joint / Q000473:pathology* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D010146:Pain / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D013584:Sarcoma, Synovial / Q000150:complications / Q000175:diagnosis*; D012983:Soft Tissue Neoplasms / Q000150:complications / Q000175:diagnosis*