Title

Tophaceous deposition in the finger pads without gouty arthritis

UMMS Affiliation

Department of Medicine, Division of Rheumatology

Date

8-1-1988

Document Type

Article

Medical Subject Headings

Aged; Aged, 80 and over; Arthritis; Female; Fingers; Gout; Humans

Disciplines

Musculoskeletal Diseases | Rheumatology | Skin and Connective Tissue Diseases

Abstract

Tophi are rarely observed in patients without a prior history of gouty arthritis. We describe four patients whose initial manifestation of gout was tophaceous deposition in an unusual location, the finger pad. None of these patients had a history of acute gouty arthritis and none had tophi elsewhere. All four patients were postmenopausal women with decreased renal function; all were taking diuretics. We conclude that tophaceous gout without arthritis may be more common than previously recognized and that tophi may deposit in the finger pad. We recommend prompt aspiration and crystal analysis of white subcutaneous finger pad deposits in hyperuricemic patients even without a history of gouty arthritis.

Rights and Permissions

Citation: Arch Intern Med. 1988 Aug;148(8):1830-2. doi:10.1001/archinte.1988.00380080102027

Comments

At the time of publication, Ellen Gravallese was not yet affiliated with the University of Massachusetts Medical School

Related Resources

Link to Article in PubMed

PubMed ID

3401106