J Korean Rheum Assoc.
2004 Jun;11(2):183-187.
Gouty Tophus on the Tibial Tuberosity with Accompanied Chemical Cellulitis Localized at the Upper Tibia
- Affiliations
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- 1Department of Internal Medicine, Kangnam General Hospital, Public Corp, Korea. drlimys@hanmail.net
- 2Dr. Lim's Rheumatism Clinic, Korea.
- 3Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Abstract
- Gout is characterized by hyperuricemia and recurrent attacks of acute arthritis. Gout is a clinical syndrome resulting from the deposition of urate (monosodium urate monohydrate) crystals. Urate deposition occurs in articular cartilage, subchondral bone, synovial membrane, joint capsule and periarticular tissues, with articular cartilage being especially susceptible. The first metatarsophalangeal joint is commonly involved at presentation and other commonly affected joints are the ankle, knee and tarsal area. Gouty tophus located on the tibial tuberosity has never been reported in korea. We report a case of gouty tophus on the tibial tuberosity with (chemical) cellulitis occurred at the upper tibial area in a 46- year-old man.