Giant Tophi Involving Both Suprapatellar Pouches and Upper Poles of the Patellae: Treatment with Febuxostat and the 6 Years Follow-Up
10.4055/jkoa.2019.54.1.78
- Author:
Sung Tae KIM
1
;
Sang Yup LEE
;
Sang Jae KIM
;
Bum Soo KIM
Author Information
1. Department of Orthopedic Surgery and Traumatology, Cheju Halla General Hospital, Jeju, Korea. hallaos7777@naver.com
- Publication Type:Case Report
- Keywords:
patella;
giant gout tophi;
osteolysis;
medication
- MeSH:
Delayed Diagnosis;
Febuxostat;
Follow-Up Studies;
Gout;
Hand;
Osteolysis;
Patella
- From:The Journal of the Korean Orthopaedic Association
2019;54(1):78-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tophi is one of the clinical manifestations of gout. On the other hand, it does not draw the patient's attention when it is asymptomatic, which leads to delayed management. The current case is a typical example of delayed diagnosis and management. The authors' preferred management of tophi was medical not surgical, even though the hitherto therapeutic issue has been conservative versus surgical. The authors chose conservative treatment in the osteolytic lesion resulting from huge tophi in the patella, and the report the results of 6 years follow-up.
