title: Coexistent digital gouty and infective flexor tenosynovitis.
abstract: Flexor tenosynovitis of the hand is often caused by trauma or infection. Gouty tenosynovitis is an uncommon presentation of the condition and is usually misdiagnosed as infection with the patient undergoing surgery. The coexistence of infection and gout causing flexor tenosynovitis has never been described before in the literature; we report the first ever case and emphasise the importance of its awareness for optimal treatment. A 54-year-old man was initially diagnosed and treated as having infective flexor tenosynovitis and, later, due to a lack of improvement in his symptoms, was discovered to also have gout. We review the literature and suggest management strategy for use in daily clinical practice, including an algorithm, for this presentation.
authors.affiliation: Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
authors.forename: Qasim
authors.initials: Q
authors.lastname: Akram
authors.affiliation: Salford Royal Foundation Trust, Salford, Manchester, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Hughes
authors.affiliation: Salford Royal Foundation Trust, Salford, Manchester, UK.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Muir
mesh_terms: D000493:Allopurinol / Q000627:therapeutic use; D003078:Colchicine / Q000627:therapeutic use; D005385:Fingers; D006073:Gout / Q000150:complications*; D006074:Gout Suppressants / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013211:Staphylococcus aureus; D013717:Tenosynovitis / Q000150:complications / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D006074:Gout Suppressants; D000493:Allopurinol; D003078:Colchicine