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2005, Number 2

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Med Cutan Iber Lat Am 2005; 33 (2)

Gouty Tophi: The Great Mimicker

Asz-Sigall D, Arenas R, Domínguez-Cherit J, Vega-Memije ME
Full text How to cite this article

Language: Spanish
References: 9
Page: 76-79
PDF size: 227.94 Kb.


Key words:

digital lesion, mycobacteria, mycosis, tophi, gout.

ABSTRACT

A nodular lesion in the finger has a broad spectrum of differential diagnoses as: sporotrichosis, micobacterial infection, tularemia, cutaneous tuberculosis, calcinosis cutis, myxoma, synovial cyst and also giant cell tumor of the tendon sheat. Is reported A 69-years-old male with a nodular lesion on the dorsal aspect of his left index finger. This lesion was diagnosed as a mycobacterial and fungal infection. The definitive diagnosis of gouty tophi was done, based on the histopathological findings.


REFERENCES

  1. Arenas R. Micología Médica Ilustrada. México. Interamericana-McGraw-Hill 2004: 113-27

  2. Touart DM, Sau P. Cutaneous deposition diseases. Part 2. J Am Acad Dermatol 1998; 39:527-44.

  3. Dacko A, Hardick K, McCormack P, Szaniawski W, Davis I. Gouty Tophi: A squamous cell carcinoma mimicker. Dermatol Surg 2002;28:636 -8.

  4. Louis D, Jebson P. Mimickers of hand infections. Hand Clinics 1998;14:519-29.

  5. Agudelo C, Wise Ch. Gout: diagnosis, patogénesis, and clinical manifestations. Curr Opin Rheumatol 2001;13:234-9.

  6. Pascual E. Gout update: from lab to the clinic and back. Curr Opin Rheumatol 2000; 12:

  7. 213-8.

  8. Wortmann R. Gout and hyperuricemia. Curr Opin Rheumatol 2002; 14:281- 6.

  9. 8 Terkeltaub R. Gout. N Eng J Med 2003;349: 1647-55.




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C?MO CITAR (Vancouver)

Med Cutan Iber Lat Am. 2005;33