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Atypical musculoskeletal manifestations of gout in hyperuricemia patients

Authors Sakti M, Usman MA, Lee J, Benjamin M, Maulidiah Q

Received 26 October 2018

Accepted for publication 15 January 2019

Published 7 February 2019 Volume 2019:11 Pages 47—52

DOI https://doi.org/10.2147/OARRR.S192369

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Professor Chuan-Ju Liu


Muhammad Sakti, Muhammad Andry Usman, Jansen Lee, Michael Benjamin, Qariah Maulidiah

Department of Orthopaedic and Traumatology, Hasanuddin University Teaching Hospital, Makassar, Indonesia

Abstract: Deposition of tophus is a common feature in chronic gout; however, signs and symptoms are not always well-pronounced in cases of uncommon sites. We report a case series of three patients, one with an acute locked knee suspected to be meniscus tear or intra-articular loose body, a second case with a lump on the dorsal hand suspected to be a benign lesion, and a third case with a finger flexion deformity with carpal tunnel syndrome; all three cases were later on found out to be tophaceous gout. White chalky monosodium urate crystal deposition was found to be the culprit of the symptoms of the patients.

Keywords: gout, tophus, uric acid, knee, extensor tendon, flexor tendon, carpal tunnel syndrome


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