Multiarticular chronic Tophaceous Gout: A benign disorder with malignant presentation

Abstract

Gout is a metabolic disorder caused by deposition of MSU (monosodium urate crystals) in joints and associated inflammatory reaction to it. It usually affects elderly men and postmenopausal women. Chronic tophaceous gout takes usually 10 years to appear due to recurrent episodes of gouty arthritis. Our case is a 55 year male person with multiarticular tophaceous gouty arthritis. Pharmacological treatment has high remittance rate. Surgical treatment is seldom required for gout and is usually reserved for cases of recurrent attacks with deformities, severe pain, infection and joint destruction. Our case is interesting due to the fact that it is early onset and treated only by pharmacological means.