Unusual Presentation of Bilaterally Symmetrical Gout Tophi on Elbows

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dc.authoridAhmet Fevzi Kekeç: 0000-0003-2045-4686en_US
dc.contributor.authorKekeç, Ahmet Fevzi
dc.contributor.authorBozgeyik, Bilgin
dc.contributor.authorYılmaz, Selçuk
dc.date.accessioned2020-01-18T21:11:18Z
dc.date.available2020-01-18T21:11:18Z
dc.date.issued2018
dc.departmentNEÜ, Meram Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Anabilim Dalıen_US
dc.descriptionWOS:000446931200013en_US
dc.description.abstractGout is a crystal deposition rheumatic disease. It is a more common inflammatory arthritis in men, characterized by formation ofmonosodium urate crystals in the synovial fluid of joints and in other tissues. It commonly deposits in the feet, ankles, knees, hands,wrists, and elbows. A 54-year-old male presented with big symmetrical masses developed gradually on both the elbows over thelast 4 years. Radiographs of both the elbows showed soft tissue swellings with no involvement of bones. Masses were of intermediatesignal intensity on T1-weighted magnetic resonance images and high signal intensity on T2-weighted images. Fine needleaspiration cytology was performed in masses on both the elbows. Light microscopy of the Giemsa- and Papanicolaou-stainedsmears demonstrated abundant granular amorphous material and scattered stacks of slender needle-shaped crystals, associatedwith chronic inflammatory infiltrate. Based on the above findings, a diagnosis of gout tophi was made. After informed consentwith the patient under general anesthesia, marginal resection of tophi were performed in the same session with clear margins. Wedescribe the treatment of a patient with long-standing chronic gout tophus located bilaterally at the elbow joint complicated bybursal deposit with rapid progression during the last 4 years. To the best of our knowledge, our case presentation may be the firstcase report where huge tophi were symmetrical and bilaterally presented on both the elbows.en_US
dc.identifier.citationKekeç, A. F., Bozgeyik, B., Yılmaz, S. (2018). Unusual presentation of bilaterally symmetrical gout tophi on elbows. European Journal of Therapeutics, 24, 3, 189-191.en_US
dc.identifier.doi10.5152/EurJTher.2018.312en_US
dc.identifier.endpage191en_US
dc.identifier.issn2564-7784en_US
dc.identifier.issn2564-7040en_US
dc.identifier.issue3en_US
dc.identifier.startpage189en_US
dc.identifier.urihttps://dx.doi.org/10.5152/EurJTher.2018.312
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpFd01UZ3dNQT09/unusual-presentation-of-bilaterally-symmetrical-gout-tophi-on-elbows
dc.identifier.urihttps://hdl.handle.net/20.500.12452/2415
dc.identifier.volume24en_US
dc.identifier.wosWOS:000446931200013en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of Therapeuticsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US]
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGouten_US
dc.subjectElbowen_US
dc.subjectTophien_US
dc.titleUnusual Presentation of Bilaterally Symmetrical Gout Tophi on Elbowsen_US
dc.typeArticleen_US

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