Finger pad tophi in gout: a rare presentation

Çerman, Aslı Aksu; Altunay, İlknur Kıvanç; Salman, Kubra Esen; Tunçel, Deniz

doi:10.1590/abd1806-4841.20164466

Cited by 3 publications

(5 citation statements)

References 2 publications

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“…21 cases of finger pad tophi from 12 different studies were identified. All cases were reported between 1983 and 2017 [1][2][3][4][5][6].…”

Section: Results Of Literature Overviewmentioning

confidence: 99%

“…Tophi are deposits of uric acid (UA) crystals in the dermal and subdermal tissue, but also may occur in other body places including internal organs [5,6]. Finger pad tophi may present as nodular or macular lesions with a diagnostic dilemma.…”

Section: Results Of Literature Overviewmentioning

confidence: 99%

“…The reviewed literature shows that fingerpad tophi present a difficult diagnosis due to their unusual occurrence and mimicking several other clinical situations [1][2][3][4][5][6]. Prompt diagnosis and timely initiation of proper therapy with ULT allow one to avoid further complications and surgical interventions may be necessary for early functional recovery [8,17].…”

Section: Discussionmentioning

confidence: 99%

“…They also pose a therapeutic dilemma due to a lack of clear treatment guidelines. Several case reports of finger pad tophi have been published before, focusing mainly on diagnosis and medical management [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Management of ulcerated finger pad tophi

Bera¹,

Sharma²,

Gupta³

et al. 2020

Reumatologia

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Finger pad tophi are an unusual but not very rare presentation of uncontrolled gout. Unlike tophaceous lesions of other locations, finger pad tophi are often difficult to diagnose at presentation due to resemblance to a variety of nodular lesions, coexistence with other connective tissue disorders and sometimes occurrence in asymptomatic hyperuricemia. They also pose a therapeutic dilemma due to a lack of clear treatment guidelines. Several case reports of finger pad tophi have been published before, focusing mainly on diagnosis and medical management. We discuss here a case of thumb pad tophi as primary presentation of undiagnosed asymptomatic hyperuricemia and treated surgically with excision and full-thickness skin graft along with urate-lowering therapy. This article highlights the diagnosis and treatment of finger pad tophi. We also discuss the surgical management of tophaceous lesions of hands and digits.

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“…21 cases of finger pad tophi from 12 different studies were identified. All cases were reported between 1983 and 2017 [1][2][3][4][5][6].…”

Section: Results Of Literature Overviewmentioning

confidence: 99%

Section: Results Of Literature Overviewmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of ulcerated finger pad tophi

Bera¹,

Sharma²,

Gupta³

et al. 2020

Reumatologia

View full text Add to dashboard Cite

show abstract

“…Tophaceous gout typically presents at articular or periarticular sites, but uric acid crystals may also deposit in extra-articular sites. 4 Finger pad tophi are superfi cial intradermal collections of monosodium urate. Although thought to be a rare manifestation of advanced gout, they may be overlooked clinically.…”

Section: ■ Finger Pad Tophi Not So Uncommonmentioning

confidence: 99%