Management of ulcerated finger pad tophi

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 a...

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Autores principales:	Sudipta Bera, Shobhit Sharma, Vivek Gupta, Durgesh Kumar Pal
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2020
Materias:	surgical treatment ulcerated finger pad tophi full-thickness skin graft. Medicine R
Acceso en línea:	https://doaj.org/article/345af37e0c284d53a1c900a5c59e983c
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spelling	oai:doaj.org-article:345af37e0c284d53a1c900a5c59e983c2021-12-02T17:46:04ZManagement of ulcerated finger pad tophi0034-62332084-983410.5114/reum.2020.96631https://doaj.org/article/345af37e0c284d53a1c900a5c59e983c2020-06-01T00:00:00Zhttps://www.termedia.pl/Management-of-ulcerated-finger-pad-tophi,18,41074,1,1.htmlhttps://doaj.org/toc/0034-6233https://doaj.org/toc/2084-9834Finger 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.Sudipta BeraShobhit SharmaVivek GuptaDurgesh Kumar PalTermedia Publishing Housearticlesurgical treatment ulcerated finger pad tophi full-thickness skin graft.MedicineRENRheumatology, Vol 58, Iss 3, Pp 173-178 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	surgical treatment ulcerated finger pad tophi full-thickness skin graft. Medicine R
spellingShingle	surgical treatment ulcerated finger pad tophi full-thickness skin graft. Medicine R Sudipta Bera Shobhit Sharma Vivek Gupta Durgesh Kumar Pal Management of ulcerated finger pad tophi
description	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.
format	article
author	Sudipta Bera Shobhit Sharma Vivek Gupta Durgesh Kumar Pal
author_facet	Sudipta Bera Shobhit Sharma Vivek Gupta Durgesh Kumar Pal
author_sort	Sudipta Bera
title	Management of ulcerated finger pad tophi
title_short	Management of ulcerated finger pad tophi
title_full	Management of ulcerated finger pad tophi
title_fullStr	Management of ulcerated finger pad tophi
title_full_unstemmed	Management of ulcerated finger pad tophi
title_sort	management of ulcerated finger pad tophi
publisher	Termedia Publishing House
publishDate	2020
url	https://doaj.org/article/345af37e0c284d53a1c900a5c59e983c
work_keys_str_mv	AT sudiptabera managementofulceratedfingerpadtophi AT shobhitsharma managementofulceratedfingerpadtophi AT vivekgupta managementofulceratedfingerpadtophi AT durgeshkumarpal managementofulceratedfingerpadtophi
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Management of ulcerated finger pad tophi

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