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Watch out for ‘pins and needles’ in hands—it may be a case of gout

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Abstract

We encountered only three patients of carpal tunnel syndrome (CTS) due to tophaceous gout during 25 years of practice in a ‘hand clinic’ situated in a large metropolis in West India. In two patients, the CTS was bilateral, a rare occurrence in gout. There was an unwarranted delay (up to 9 years) in the diagnosis of both the ailments. In each case, the site of offending tophus was uniquely different.

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Acknowledgment

Dr S Nagale and Ms V Anuradha provided invaluable assistance in management of the cases. Dr Akolkar and Dr AV Patil helped in retrieving and analyzing case records.

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Correspondence to Arvind Chopra.

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Patil, V.S., Chopra, A. Watch out for ‘pins and needles’ in hands—it may be a case of gout. Clin Rheumatol 26, 2185–2187 (2007). https://doi.org/10.1007/s10067-007-0672-4

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  • DOI: https://doi.org/10.1007/s10067-007-0672-4

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