J Korean Orthop Assoc.  2021 Jun;56(3):261-265. 10.4055/jkoa.2021.56.3.261.

Intratendinous Tophaceous Gout Mimicking Cellulitis after Achilles Tendon Repair

• Shin WJ
• Hong SH
• Suh SP
• Lee SG

• KMID: 2516658
• DOI: http://doi.org/10.4055/jkoa.2021.56.3.261

Abstract

A diagnosis of gout is often straightforward because gout has well known clinical presentations, laboratory analyses, and radiologic features. On the other hand, gout can mimic other diseases by showing a range of atypical clinical manifestations. This paper reports a 35-year-old male with no prior history of gout who developed tophaceous gout at his previously repaired Achilles tendon 11 years after surgery. He was initially misdiagnosed with cellulitis because of his atypical clinical features. This case is presented with a review of the relevant literature.

Keyword

gout; Achilles tendon