title: Tophaceous Gout: a tragic course for a preventable disease.
abstract: A 66-year-old man, with a history of chronic tophaceous gout since the age of 30, presented with multiple tophi and significant deformity of all fingers that caused substantial function loss. Due to osteomyelitis refractory to antimicrobial therapy, he underwent disarticulation of several fingers. Finally, both his hands were amputated.
authors.forename: F
authors.initials: F
authors.lastname: Farinha
authors.forename: I
authors.initials: I
authors.lastname: Cunha
authors.forename: A
authors.initials: A
authors.lastname: Barcelos
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D006073:Gout / Q000473:pathology / Q000601:surgery*; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D012720:Severity of Illness Index