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CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 1  |  Page : 23-24

Chronic tophaceous gout manifesting with bilateral diffuse pedal swelling: Cytology revisited with an update in its list of differentials


Department of Pathology, Sonoscan Healthcare, Malda, West Bengal, India

Correspondence Address:
Dr. Krishnendu Mondal
C/O Barendra Nath Mondal, Vill-Fularhat, PO and PS Sonarpur, South 24 Parganas, Kolkata - 700 150, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/TJD.TJD_39_19

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Gout, a disorder of purine metabolism, presents with acute or chronic arthritis and deposition of urate crystals in connective tissue and kidneys. Rarely, patients progress into chronic tophaceous gout (CTG). We emphasize on a 74-year-old male patient, who developed multiple gouty tophi over both his hands. In addition, both his feet were diffusely swollen. On detection of characteristic urate crystals from both his hands and feet lesions, the diagnosis of CTG was confirmed.


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