title: Citric acid treatment of chronic nonhealing ulcerated tophaceous gout with bursitis.
abstract: The ulceration associated with gout tophi is very difficult to treat because of impaired and halted local inflammatory response resulting from the gout treatment regimen. We report chronic nonhealing tophaceous gout with bursitis in an 80-year-old male, not responding to conventional treatment modality for months together. This nonhealing ulcer was treated successfully with local application of 3% citric acid ointment for 22 days.
authors.affiliation: 1MIMSR Medical College, Latur, Maharashtra, India.
authors.forename: Basavaraj S
authors.initials: BS
authors.lastname: Nagoba
authors.forename: Ajay
authors.initials: A
authors.lastname: Punpale
authors.forename: Ashok
authors.initials: A
authors.lastname: Poddar
authors.forename: Namdev M
authors.initials: NM
authors.lastname: Suryawanshi
authors.forename: Ganesh A
authors.initials: GA
authors.lastname: Swami
authors.forename: Sohan P
authors.initials: SP
authors.lastname: Selkar
mesh_terms: D000287:Administration, Topical; D000369:Aged, 80 and over; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000891:Anti-Infective Agents, Local; D002062:Bursitis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D002114:Calcinosis; D019343:Citric Acid / Q000008:administration & dosage*; D003646:Debridement / Q000379:methods; D016523:Foot Ulcer / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006073:Gout / Q000097:blood / Q000150:complications / Q000503:physiopathology; D006801:Humans; D008297:Male; D009824:Ointments; D011859:Radiography; D018461:Soft Tissue Infections / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods; D014527:Uric Acid / Q000097:blood; D014945:Wound Healing / Q000187:drug effects
chemical_list: D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D009824:Ointments; D014527:Uric Acid; D019343:Citric Acid
keywords: bursitis; citric acid treatment; tophaceous gout