Role for surgical excision of gouty tophi in improving hand function

Ahmad Fazly Abd Rasid, Mohd Yazid Bajuri, Rasyidah Rehir

Research output: Contribution to journalArticle

Abstract

Gout is a painful disorder of purine degradation with resulting hyperuricemia leading deposition of monosodium urate crystals in major joints of the lower limbs, classically the first metatarsoph-alangeal joint or better known as podagral. Gout may also leads to other systemic complications such as nephrolithiasis, renal impairment and involvement of other part of connective tissue. Pharmacological therapy with dietary avoidance of certain food is the main stay of treatment. Surgery is only indicated for the patients with joints or cutaneous deposits of urate crystal causing significant restriction of hand or limb function, skin ulceration or for compressive peripheral neuropathy. We report a case of a 61 year old Malay gentleman, who presented with polyarticular tophaceous gouty arthritis affecting both of his upper limbs, for which surgery with excision of the tophaceous gouty deposit led to improvement in his right hand function.

Original languageEnglish
Pages (from-to)9-12
Number of pages4
JournalBrunei International Medical Journal
Volume15
Issue number1
Publication statusPublished - 1 Jan 2019

Fingerprint

Hand
Gout
Joints
Uric Acid
Gouty Arthritis
Nephrolithiasis
Hyperuricemia
Skin
Peripheral Nervous System Diseases
Upper Extremity
Connective Tissue
Lower Extremity
Extremities
Pharmacology
Kidney
Food
Therapeutics
purine

Keywords

  • Acquired hand deformities
  • Gout
  • Gouty arthritis
  • Surgery
  • Uric acid

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Role for surgical excision of gouty tophi in improving hand function. / Abd Rasid, Ahmad Fazly; Bajuri, Mohd Yazid; Rehir, Rasyidah.

In: Brunei International Medical Journal, Vol. 15, No. 1, 01.01.2019, p. 9-12.

Research output: Contribution to journalArticle

Abd Rasid, Ahmad Fazly ; Bajuri, Mohd Yazid ; Rehir, Rasyidah. / Role for surgical excision of gouty tophi in improving hand function. In: Brunei International Medical Journal. 2019 ; Vol. 15, No. 1. pp. 9-12.
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