Document Detail


Gout affecting the hand and wrist.
MedLine Citation:
PMID:  17916786     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tophaceous gout in the hand and wrist often presents de novo as the first sign of the disease process in the elderly. Tophaceous material may present in a liquid, pasty, or chalky/granular state. Treatment may be as simple as aspirating the liquid or squeezing out pasty tophaceous material. Other nonsurgical treatment options include lifestyle and dietary modifications and drug therapy. Surgery is often indicated for the patient with significant tendon and joint compromise as well as skin breakdown and for decompression of compressive peripheral neuropathy.
Authors:
Brian T Fitzgerald; Arathi Setty; Chaitanya S Mudgal
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of the American Academy of Orthopaedic Surgeons     Volume:  15     ISSN:  1067-151X     ISO Abbreviation:  J Am Acad Orthop Surg     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-05     Completed Date:  2008-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417468     Medline TA:  J Am Acad Orthop Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  625-35     Citation Subset:  IM    
Affiliation:
Naval Medical Center, San Diego, USA.
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MeSH Terms
Descriptor/Qualifier:
Gout* / diagnosis,  physiopathology,  therapy
Hand Joints*
Humans
Wrist Joint*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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