title: Unknown: Multiple painful nodules - what is the diagnosis? Chronic tophaceous gout.
abstract: Gout is a common rheumatologic condition of recurrent polyarticular involvement. Tophi may be the first sign of the disease. We report a 55-year-old hypertensive, chronic alcoholic and diabetic male with a three-year history of multiple painful skin-colored nodules on the forearms, elbows, feet, posterior thighs, and popliteal fossa associated with discharging sinuses. Serum uric acid was 8.1 mg/dL (normal: 2-7.4 mg/dL). Fine needle aspiration cytology showed monosodium urate crystals, which are pathognomonic for gout, confirmed histopathalogically.
authors.affiliation: LTMMC and GH, Mumbai, Maharashtra, India.
authors.forename: Ganesh
authors.initials: G
authors.lastname: Avhad
authors.forename: Ameet
authors.initials: A
authors.lastname: Dandale
authors.forename: Smita
authors.initials: S
authors.lastname: Ghate
authors.forename: Rachita
authors.initials: R
authors.lastname: Dhurat
mesh_terms: D057229:Alcoholics; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003078:Colchicine / Q000627:therapeutic use; D003920:Diabetes Mellitus / Q000188:drug therapy; D004359:Drug Therapy, Combination; D006073:Gout / Q000097:blood / Q000188:drug therapy / Q000473:pathology*; D006074:Gout Suppressants / Q000627:therapeutic use; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000097:blood / Q000188:drug therapy / Q000473:pathology*; D016896:Treatment Outcome; D014527:Uric Acid / Q000097:blood
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D000959:Antihypertensive Agents; D006074:Gout Suppressants; D007004:Hypoglycemic Agents; D014527:Uric Acid; D003078:Colchicine